Individual provider Active NPI

Kimberly Robichaux

  • Physical Therapist
  • Thibodaux, LA
National Provider Identifier
1689054744
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
09108R Issued in LA
Practice address
1003 Saint Mary St
Thibodaux, LA 70301-6624
Phone
(985) 227-9116
Fax
(985) 227-9259
NPI assigned
Jun 4, 2015
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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 09108R LA Primary

Addresses

Primary practice location

1003 Saint Mary St
Thibodaux, LA 70301-6624

Mailing address

508 N Acadia Rd
Thibodaux, LA 70301-4862

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819006527 LA Practitioner - Physical Therapist in Private Practice 5597070672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1003 Saint Mary St
Thibodaux, LA 70301-6624
Phone (985) 227-9116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Physcial Therapy and Rehabilitation CurrentSince Jun 13, 2015 Accepting new patients
Genesis Physical Therapy and Wellness, LLC Physical Therapist CurrentSince May 1, 2019 Accepting new patients

Locations

1340 Elm St
Ste 101
Morgan City, LA 70380
Phone (985) 384-1999

1003 Saint Mary St
Thibodaux, LA 70301
Phone (985) 227-9116

508 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 447-1100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1689054744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 SAINT MARY ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016624",
            "telephone_number": "985-227-9116",
            "fax_number": "985-227-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBICHAUX",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09108R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.