Braden Guidry, PT, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

08576 Issued in LA

Legal business name

BRADEN GUIDRY, PT, LLC

Practice address

221 S Main St
Church Point, LA 70525-3115

Phone

(337) 684-0070

Fax

(337) 684-0146

NPI assigned

Sep 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Braden Keith Guidry, PT/DPTNPI 1164846705

Title

Owner

Phone

(337) 684-0070

Specialties & licenses 1

Addresses

Other names 1

• Church Point Therapy Services Other name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Braden Guidry, PT

  • Physical Therapist
  • Lafayette, LA
  • NPI 1164846705
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1972051993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PONTCHARTRAIN DR",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705205271",
            "telephone_number": "337-684-0070",
            "fax_number": "337-684-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S MAIN ST",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705253115",
            "telephone_number": "337-684-0070",
            "fax_number": "337-684-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADEN GUIDRY, PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "GUIDRY",
        "authorized_official_first_name": "BRADEN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-684-0070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT/DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "08576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Church Point Therapy Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bec Vision, LLC (LA Eye & Vision Center)
• Denise Bertrand, O.T.
• Chad Bodin, R.P.H.
• Eric Jarsin Boudreaux, O.D.
• Marjorie L Bourgeois, PT05/12/1946
• Martin Shawn Briggs, DDS
• Church Point Community Pharmacy
• Church Point Drug Inc (Church Point Pharmacy)
• Church Point Medical Clinic LLC
• Church Point Primary Care, LLC

• Physical Therapy Clinic/Center in Church Point, LA
• Providers in Church Point, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.