NPIMap

Organization Active NPI

Rural Rehab Providers, LLC

  • Physical Therapist
  • Corsicana, TX
National Provider Identifier
1063574671
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RURAL REHAB PROVIDERS, LLC
Practice address
1026 W 2ND Ave
Corsicana, TX 75110-3702
Phone
(903) 874-7433
Fax
(903) 389-7631
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Lisa Lott, MN, CNS, FNP
Title
Owner
Phone
(903) 388-4983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X TX Primary

Addresses

Primary practice location

1026 W 2ND Ave
Corsicana, TX 75110-3702

Mailing address

PO Box 1241
Corsicana, TX 75151-1241
Phone (903) 389-7433

Other practice location 1

401 N Interstate 45
Suite 130
Ennis, TX 75119
Phone (469) 517-5500

Other practice location 2

352 W US Highway 84
Fairfield, TX 75840-4908
Phone (903) 398-7433

Other identifiers 2

IdentifierTypeStateIssuer
0003GROtherTXBCBS
145100701MedicaidTX

Other names 1

  • Lott Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031223000143 TX Part B Supplier - Clinic/Group Practice 9638077043 Receives reassigned benefits from 23 practitioners
Practice locations: Fairfield, TX; Corsicana, TX; Ennis, TX

National Provider Directory

National Provider Directory

Locations

1026 W 2nd Ave
Corsicana, TX 75110
Phone (903) 389-7433

402 N I45
Ste 130
Ennis, TX 75119
Phone (469) 517-5500

402 N I45
Ennis, TX 75119
Phone (469) 517-5500

352 W US Highway 84
Fairfield, TX 75840
Phone (903) 389-7433

100 N Keechi St
Fairfield, TX 75840
Phone (903) 389-7433

123 Medical Dr
Ste B
Palestine, TX 75801
Phone (903) 729-8616

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1063574671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1241",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751511241",
            "telephone_number": "903-389-7433",
            "fax_number": "903-389-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 W 2ND AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751103702",
            "telephone_number": "903-874-7433",
            "fax_number": "903-389-7631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 N Interstate 45",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Ennis",
            "state": "TX",
            "postal_code": "75119",
            "country_code": "US",
            "telephone_number": "469-517-5500",
            "fax_number": "903-389-7631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "352 W US Highway 84",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "TX",
            "postal_code": "758404908",
            "country_code": "US",
            "telephone_number": "903-398-7433",
            "fax_number": "903-389-7631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RURAL REHAB PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-02-04",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "LOTT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-388-4983",
        "authorized_official_credential": "MN, CNS, FNP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0003GR",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145100701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lott Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corsicana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.