LINCOLN OUTPATIENT THERAPY SERVICES NPI 1407825060

NPI Information

  • NPI: 1407825060
  • Provider Name: LINCOLN OUTPATIENT THERAPY SERVICES
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Address: 1817 NORTHPOINTE LANE
    RUSTON, LA
    ZIP 71270
  • Phone: (318) 255-9601

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NPI Details

LINCOLN OUTPATIENT THERAPY SERVICES is a rehabilitation clinic center in Ruston, LA. LINCOLN OUTPATIENT THERAPY SERVICES NPI is 1407825060. The provider is registered as an organization entity type.

The provider's business location address is:

1817 NORTHPOINTE LANE
RUSTON, LA
ZIP 71270-879
Phone: (318) 255-9601
Fax: (318) 255-7971

The provider's authorized official is Matthew Randolph Shirley .
The authorized official title is President and has the following contact phone number (318) 255-9601.

The enumeration date for this NPI number is 3/16/2006 and was last updated on 12/15/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1196636MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
27822443OTHERLOUISIANAAETNA
31169234MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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