Active NPI
Kimberly Cyr, PHYSICAL THERAPIST
- Orthopedic Physical Therapist
- Gonzales, LA
National Provider Identifier
1801081799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT06794
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3A685C811 | Other | LA | MEDICARE GROUP MEMBER PTAN |
Other names 1
- Kim Cyr
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 |
|---|---|---|---|
| PT06794 | LA | MD | Orthopedic 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.