Kylie Reid, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A10068R Issued in LA

Practice address

1603 Goodwin Rd
Ruston, LA 71270-2907

Phone

(318) 255-7550

Fax

(318) 255-7552

NPI assigned

Jun 26, 2024

Last updated

Jun 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Building Futures

  • Speech-Language Pathologist
  • Monroe, LA
  • NPI 1770672073
  NPD (past)

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1447095146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 GOODWIN RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702907",
            "telephone_number": "318-255-7550",
            "fax_number": "318-255-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 GOODWIN RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702907",
            "telephone_number": "318-255-7550",
            "fax_number": "318-255-7552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 Stubbs Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015629",
            "country_code": "US",
            "telephone_number": "318-388-8414",
            "fax_number": "318-388-8558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "KYLIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "LA",
            "license": "A10068R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Hester Reed, LCSW
• Kristin Sherrill Reeves, APRN, FNP-C
• Reflected Grace, LLC (Reflected Grace)
• Reflected Grace, LLC (Reflected Grace)
• Reframing for Life, LLC
• Robert C Rendina, D.C.
• Michael L Reynolds
• Cody Rhodes, PT
• Kristin Michelle Ricard
• Jennifer Richard

• Physical Therapy Assistant in Ruston, LA
• Providers in Ruston, LA by specialty
• Physical Therapy Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.