Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kimberly Sellers Boutin, DPT

Individual provider Physical Therapist · NPI 1942086491

Mrs. Kimberly Sellers Boutin, DPT is a Physical Therapist in Private Practice in Carencro, Louisiana. Qualified in 2023, 3 years ago. Practices with Summit Physical Therapy, Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
3
Licensed in
LA
In the registry since
2023
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

726 Veterans Dr
Carencro, LA 70520-3619
Phone: (337) 565-4355
Fax: (337) 565-4357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11562 (LA)

Record details

NPI number1942086491
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 31, 2023
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Summit Physical Therapy, Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Carencro