Active NPI
Kelly Villars, PT
- Physical Therapist
- Covington, LA
National Provider Identifier
1619912656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05264R
- Practice address
- 103 Northpark Blvd
Suite 205
Covington, LA 70433-6119 - Phone
- (985) 871-7878
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05264R | LA | Primary |
Addresses
Primary practice location
103 Northpark Blvd
Suite 205
Covington, LA 70433-6119
Mailing address
410 Avenue Palais Royal
Covington, LA 70433-6402
Phone (985) 871-7878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05264R | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619912656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 AVENUE PALAIS ROYAL",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704336402",
"telephone_number": "985-871-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 NORTHPARK BLVD",
"address_2": "SUITE 205",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704336119",
"telephone_number": "985-871-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARS",
"first_name": "KELLY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "05264R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.