Colyn Petry, DPT
Physical Therapist in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1124868633
StatusActive
Last updated in NPPESMay 31, 2024
Details
- NPI
- 1124868633
- Entity type
- Individual (NPI-1)
- Name
- Colyn Petry
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 31, 2024
- Certification date
- May 31, 2024
- Last updated
- May 31, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 11795 | LA | Yes |
Practice location
5222 Brittany Dr Ste ABaton Rouge, LA 70808-9136
Phone 225-769-3898
Mailing address
1650 Lyndon Farm Ct Ste 300Louisville, KY 40223-5005
Phone 757-208-4731
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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