Active NPI
Laurent Kyle Garay, PT, DPT
- Physical Therapist
- Pembroke Pines, FL
National Provider Identifier
1992454136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT38118
- Practice address
- 17900 NW 5TH St Ste 102
Pembroke Pines, FL 33029-2809 - Phone
- (954) 367-4000
- NPI assigned
- Mar 23, 2022
- 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 | PT38118 | FL | Primary |
Addresses
Primary practice location
17900 NW 5TH St Ste 102
Pembroke Pines, FL 33029-2809
Mailing address
10733 Cypress Lake Ter
Boca Raton, FL 33498-1502
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 |
|---|---|---|---|
| PT38118 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1992454136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10733 CYPRESS LAKE TER",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334981502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17900 NW 5TH ST STE 102",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330292809",
"telephone_number": "954-367-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARAY",
"first_name": "LAURENT KYLE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-23",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT38118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.