Individual provider Active NPI

Kyle Guidry, DPT

  • Physical Therapist
  • Houma, LA
National Provider Identifier
1629639612
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10262 Issued in LA
Practice address
1001 School St
Houma, LA 70360-4629
Phone
(985) 868-1540
Fax
(985) 876-0759
NPI assigned
Jun 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10262 LA Primary

Addresses

Primary practice location

1001 School St
Houma, LA 70360-4629

Mailing address

1001 School St
Houma, LA 70360-4629
Phone (985) 868-1540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190815001002 LA Practitioner - Physical Therapist in Private Practice 5294062170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houma Orthopedic Clinic AMCGroup PAC ID 4183683923, 21 clinicians

Practice addresses (Care Compare)

1001 School St
Houma, LA 70360-4629
Phone (985) 868-1540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10262LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Houma Orthopedic Clinic AMC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kguidry@gco.directbygreenway.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1629639612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SCHOOL ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604629",
            "telephone_number": "985-868-1540",
            "fax_number": "985-876-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SCHOOL ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604629",
            "telephone_number": "985-868-1540",
            "fax_number": "985-876-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "KYLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.