Kristen Dufour, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08790 Issued in LA

Practice address

653 Myrtle Dr
Covington, LA 70433-8225

Phone

(985) 893-4700

Fax

(985) 893-3211

NPI assigned

Sep 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Earle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Therapeutic by Design Fitness and Wellness, LLC

  • Physical Therapist
  • Mandeville, LA
  • NPI 1790780120
  NPD
• Dynamic Physical Therapy Services PC

  • Physical Therapist
  • Flushing, NY
  • NPI 1497717375
  NPD (past)

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1821498262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 MYRTLE DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338225",
            "telephone_number": "985-893-4700",
            "fax_number": "985-893-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 MYRTLE DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338225",
            "telephone_number": "985-893-4700",
            "fax_number": "985-893-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFOUR",
        "first_name": "KRISTEN",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "EARLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lesley Marie Dubuc, PA
• Rafael S. Ducos, MD
• Michelle Smith Ducote, LOTR
• Velma Ducre
• Genevieve Ducros, OT
• Lauren Davis Dufour, FNP
• Jennifer Lane Dufriend, PMHNP-BC
• Sydney Dugas, DO
• Olivia Dumestre
• Mae M. Dumlao, M.D.

• Physical Therapist in Covington, LA
• Providers in Covington, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.