Active NPI
Kevin Michael Garrigan, DPT
- Physical Therapist
- Pineville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03648
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1111619 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03648 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Physical Therapy Centers of Pineville LLC | Physical Therapist | Current | Accepting new patients |
| Clark Integrated Medical Clinics LLC | Past | 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.
-
- Physical Therapist
- Pineville, LA
- NPI 1407961865
-
dba Clark Integrated Medical Clinics
- General Practice Physician
- Lafayette, LA
- NPI 1124529284
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.