Guidry Physical Therapy Services LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

07689R Issued in LA

Legal business name

GUIDRY PHYSICAL THERAPY SERVICES LLC

Doing business as

Restore Physical Therapy

Practice address

70493 Highway 21 Ste 600
Covington, LA 70433-7016

Phone

(985) 317-3335

Fax

(985) 317-3327

NPI assigned

Jan 3, 2012

Last updated

Jun 25, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brent RobertsonNPI 1699194647

Title

Owner/Manager

Phone

(504) 628-8085

Specialties & licenses 1

Addresses

Other names 1

• Restore Physical Therapy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brent Robertson, P.T.

  • Physical Therapist
  • Belle Chasse, LA
  • NPI 1699194647
  Authorized official Same address or phone
• Joseph Bonvillain, MD

  • Orthopaedic Surgery Physician
  • Covington, LA
  • NPI 1346567146
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1407126733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70493 HIGHWAY 21 STE 600",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70493 HIGHWAY 21 STE 600",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337016",
            "telephone_number": "985-317-3335",
            "fax_number": "985-317-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDRY PHYSICAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "504-628-8085"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "07689R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mack Jay Groves IV, DPM
• Lloyd Joseph Gueringer Jr., MD
• Melissa Labourdette Gueringer, APRN, FNP-C
• Shaun Michael Gueringer, APRN, FNP-C
• Kristen Marie Guidotti
• Brian Phillip Guidry, MD
• Elise Marie Guidry, NP
• Kelley Verbick Guidry, CRNA
• Lauren Guidry, FNP
• Lauren Nicole Guidry, MS

• Physical Therapy Clinic/Center in Covington, LA
• Providers in Covington, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.