Kevin Michale Guilbeaux, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

07993 Issued in LA

Practice address

946 Beglis Pkwy
Sulphur, LA 70663-5102

Phone

(337) 533-8410

Fax

(337) 533-8411

NPI assigned

Jan 10, 2011

Last updated

Mar 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Performance Physical Therapy and Sports Rehab, LLCGroup PAC ID 8123565595, 2 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peak Performance Physical Therapy & Sports Rehab, LLC

  • Physical Therapist
  • Sulphur, LA
  • NPI 1316701626
  Medicare reassignment Care Compare group NPD Authorized official
• Westlake Physical Therapy LLC

  • Physical Therapist
  • Sulphur, LA
  • NPI 1760022701
  Medicare reassignment NPD

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1932403771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 BEGLIS PKWY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635102",
            "telephone_number": "337-533-8410",
            "fax_number": "337-533-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 BEGLIS PKWY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635102",
            "telephone_number": "337-533-8410",
            "fax_number": "337-533-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILBEAUX",
        "first_name": "KEVIN",
        "middle_name": "MICHALE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-10",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger G Grimball, MD
• Roger Glen Grimball Jr., D.D.S.
• Virginia Nocilla Grimball, DDS
• Brett Gschwend, D.C.
• Jackie Lynn Guidry, NP
• Steven Paul Guillory, RPH
• Marissa Hall
• Allison Johnson Hansen, CNM, APRN
• Felicia Harris, LCSW
• Sergio Miguel Hayes-Borja

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.