Active NPI
Gary Lee Kuykendall, PT
- Physical Therapist
- Billings, MT
National Provider Identifier
1881624062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 705
- Practice address
- 3838 Avenue B Ste B
Billings, MT 59102-7550 - Phone
- (406) 238-6535
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 705 | MT | Primary |
Addresses
Primary practice location
3838 Avenue B Ste B
Billings, MT 59102-7550
Mailing address
2900 12TH Ave N Ste 140W
Billings, MT 59101-7507
Phone (406) 238-6450
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 343298 | Medicaid | MT | |
| 60976 | Other | MT | BCBS IND # |
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 |
|---|---|---|---|
| 705 | MT | MD | Clinical Social Worker |
Interoperability endpoints
- gary.kuykendall@1146.chartlogic.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1881624062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 12TH AVE N STE 140W",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591017507",
"telephone_number": "406-238-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 AVENUE B STE B",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591027550",
"telephone_number": "406-238-6535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUYKENDALL",
"first_name": "GARY",
"middle_name": "LEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "343298",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IND #",
"identifier": "60976",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.