Trever D Landry, LMT, CPT

Key facts

NPI

1609698000

Entity type

Individual (NPI type 1)

Primary specialty

Massage Therapist 225700000X

License

MT.0025836 (CO)

Practice address

201 E Main St
Delcambre, LA 70528-3011

Phone

(337) 335-8664

NPI assigned

Oct 28, 2024

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 11, 2025.

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1609698000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 E SAINT VRAIN ST APT 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094851",
            "telephone_number": "337-335-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E MAIN ST",
            "city": "DELCAMBRE",
            "state": "LA",
            "postal_code": "705283011",
            "telephone_number": "337-335-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "TREVER",
        "middle_name": "D",
        "credential": "LMT, CPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0025836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delcambre, LA

• Jay Taylor Brown
• Delcambre Pharmacy, Inc
• Patrick Esponge
• Joshua Allen Harrington, ATC, LAT
• Mary Susan Tigrett Leblanc, R.PH.
• Shelby Labbe Leblanc, PT, DPT
• David Jeffrey Lecount
• Journey Katelyn Manuel
• Thomas G McKenna, DDS

All providers in Delcambre, LA · Massage Therapist in Louisiana