Kyle W Thibodeaux (NPI# 1225568611, PAC ID# 2769754175) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1225568611 |
| PAC ID by PECOS | 2769754175 |
| Professional Enrollment ID | I20190827003953 |
| Full Name | Kyle W Thibodeaux |
| Organization Legal Name | RENEW PT AND PERFORMANCE LLC |
| Address |
27468 World Ct Daphne AL 36526-5310 |
| Phone Number | 2512701551 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6103164967 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 27468 World Ct, Daphne, AL 36526-5310 | 2512701551 | RENEW PT AND PERFORMANCE LLC |
| Organization Legal Name | RENEW PT AND PERFORMANCE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler Berton Vaughn | Physical Therapy | Renew Pt and Performance LLC | 27468 World Ct, Daphne, AL 36526-5310 |
| Street Address |
27468 WORLD CT |
| City | DAPHNE |
| State | AL |
| Zip | 36526-5310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler Berton Vaughn | Physical Therapy | Renew Pt and Performance LLC | 27468 World Ct, Daphne, AL 36526-5310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vernon L Hermecz | Emergency Medicine | Urgent Care By The Bay, LLC | 1208 Us Hwy 98, Daphne, AL 36526-4254 |
| Kristin Bernice Kalmbacher | Family Medicine | Urgent Care By The Bay, LLC | 1208 Us Hwy 98, Daphne, AL 36526-4254 |
| John C Jacobs V | Emergency Medicine | Urgent Care By The Bay, LLC | 1208 Us Hwy 98, Daphne, AL 36526-4254 |
| Edward Simms | Emergency Medicine | Urgent Care By The Bay, LLC | 1208 Us Hwy 98, Daphne, AL 36526-4254 |
| Alan J Babcock | Emergency Medicine | Urgent Care By The Bay, LLC | 1208 Us Hwy 98, Daphne, AL 36526-4254 |
| Michael O Stodard | Family Medicine | Urgent Care By The Bay, LLC | 1208 Us Hwy 98, Daphne, AL 36526-4254 |
| Michael J Bindon | Emergency Medicine | Urgent Care By The Bay, LLC | 1208 Us Hwy 98, Daphne, AL 36526-4254 |
| Thomas Chad Vanderheyden | Emergency Medicine | Urgent Care By The Bay, LLC | 1208 Us Hwy 98, Daphne, AL 36526-4254 |
| Cynthia S Harbaugh | Family Practice | Urgent Care By The Bay, LLC | 1208 Us Hwy 98, Daphne, AL 36526-4254 |
| Todd Kilpatrick | Physical Therapy | Bishop Physical Therapy LLC | 1203 Us Hwy 98, Suite 1 C, Daphne, AL 36526-4255 |
| Find all physicians in zip 36526 | |||
| City | DAPHNE |
| Zip Code | 36526 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | DAPHNE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kyle W Thibodeaux.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.