Individual provider Active NPI

Kimberly Cyr, PHYSICAL THERAPIST

  • Orthopedic Physical Therapist
  • Gonzales, LA
National Provider Identifier
1801081799
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT06794 Issued in LA
Practice address
625 S Burnside Ave
Unit #9
Gonzales, LA 70737-3400
Phone
(225) 644-8510
Fax
(225) 644-9736
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT06794 LA Primary

Addresses

Primary practice location

625 S Burnside Ave
Unit #9
Gonzales, LA 70737-3400

Mailing address

625 S Burnside Ave
Unit #9
Gonzales, LA 70737-3400
Phone (225) 644-8510

Other identifiers 1

IdentifierTypeStateIssuer
3A685C811OtherLAMEDICARE GROUP MEMBER PTAN

Other names 1

  • Kim Cyr Professional name

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

LicenseStateTypeSpecialty
PT06794LAMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1801081799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S BURNSIDE AVE",
            "address_2": "UNIT #9",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373400",
            "telephone_number": "225-644-8510",
            "fax_number": "225-644-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S BURNSIDE AVE",
            "address_2": "UNIT #9",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373400",
            "telephone_number": "225-644-8510",
            "fax_number": "225-644-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYR",
        "first_name": "KIMBERLY",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "PT06794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP MEMBER PTAN",
            "identifier": "3A685C811",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "CYR",
            "credential": "PHYSICAL THERAPSIT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.