Individual provider Active NPI

Leanne Marie Lain, DPT

  • Physical Therapy Clinic/Center
  • Slidell, LA
National Provider Identifier
1063363117
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
12261 Issued in LA
Practice address
107 S Military Rd Ste 1
Slidell, LA 70461-4158
Phone
(985) 641-2866
Fax
(985) 641-7998
NPI assigned
Feb 5, 2026
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 12261 LA Primary
Physical Therapist 225100000X 12261 LA

Addresses

Primary practice location

107 S Military Rd Ste 1
Slidell, LA 70461-4158

Mailing address

107 S Military Rd Ste 1
Slidell, LA 70461-4158
Phone (985) 641-2866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260311004575 LA Practitioner - Physical Therapist in Private Practice 6406339001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Superior Rehabilitation Services, LLCGroup PAC ID 9436043049, 3 clinicians

Practice addresses (Care Compare)

107 S Military Rd
Suite 1
Slidell, LA 70461-4158
Phone (985) 641-2866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12261LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Rehabilitation Services, LLC Physical Therapy CurrentSince Feb 9, 2026 Accepting new patients

Locations

107 S Military Rd
Ste 1
Slidell, LA 70461
Phone (985) 641-2866

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1063363117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S MILITARY RD STE 1",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614158",
            "telephone_number": "985-641-2866",
            "fax_number": "985-641-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S MILITARY RD STE 1",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614158",
            "telephone_number": "985-641-2866",
            "fax_number": "985-641-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIN",
        "first_name": "LEANNE",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "12261",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "12261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.