Individual provider Active NPI

Kevin Michael Garrigan, DPT

  • Physical Therapist
  • Pineville, LA
National Provider Identifier
1932202496
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03648 Issued in LA
Practice address
1135 Expressway Drive
Suite 100 B
Pineville, LA 71360
Phone
(318) 487-6525
Fax
(318) 487-6527
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 03648 LA Primary

Addresses

Primary practice location

1135 Expressway Drive
Suite 100 B
Pineville, LA 71360

Mailing address

P O Box 13643
Alexandria, LA 71315
Phone (318) 487-6525

Other identifiers 1

IdentifierTypeStateIssuer
1111619MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130000116 LA Practitioner - Physical Therapist in Private Practice 5395700546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Physical Therapy Centers of Pineville, LLCGroup PAC ID 1456384346, 2 clinicians

Practice addresses (Care Compare)

1135 Expressway Dr
Suite 100B
Pineville, LA 71360-6666
Phone (318) 487-6525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03648LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Physical Therapy Centers of Pineville LLC Physical Therapist CurrentSince Aug 1, 1999 Accepting new patients
Clark Integrated Medical Clinics LLC PastSince Apr 2, 2018 Accepting new patients
LHCG-VIII, LLC Past Accepting new patients

Locations

1135 Expressway Dr
Ste 200A
Pineville, LA 71360
Phone (318) 561-0001

1135 Expressway Dr
Ste 100
Pineville, LA 71360
Phone (318) 487-6525

1135 Expressway Dr
Ste 100B
Pineville, LA 71360
Phone (318) 487-6525

Organizations & group practices 3

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932202496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 13643",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71315",
            "telephone_number": "318-487-6525",
            "fax_number": "318-487-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 EXPRESSWAY DRIVE",
            "address_2": "SUITE 100 B",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "71360",
            "telephone_number": "318-487-6525",
            "fax_number": "318-487-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIGAN",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "03648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1111619",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.