Organization Active NPI

Crossroads Rehabilitation

  • Speech-Language Pathologist
  • Haynesville, LA
National Provider Identifier
1215912290
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CROSSROADS REHABILITATION
Practice address
1745 Bailey Ave
Haynesville, LA 71038-5411
Phone
(318) 624-9299
Fax
(318) 624-9299
NPI assigned
Dec 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Steve Ray Grayson Sr.
Title
Owner
Phone
(318) 255-1702

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1745 Bailey Ave
Haynesville, LA 71038-5411

Mailing address

3005 English Turn
Ruston, LA 71270-2668
Phone (318) 255-1702

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Rehabilitation LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1215912290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 ENGLISH TURN",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702668",
            "telephone_number": "318-255-1702",
            "fax_number": "318-624-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 BAILEY AVE",
            "city": "HAYNESVILLE",
            "state": "LA",
            "postal_code": "710385411",
            "telephone_number": "318-624-9299",
            "fax_number": "318-624-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-255-1702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haynesville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.