Red River Rehab, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RED RIVER REHAB, LLC

Practice address

1646 Military Hwy
Pineville, LA 71360-5042

Phone

(318) 443-9305

Fax

(318) 443-3143

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Lawrence Claiborne Lanford

Title

Administer

Phone

(318) 446-6169

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 12

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

• Ashlynn Lanford, DPT

  • Physical Therapist
  • Pineville, LA
  • NPI 1609503069
  NPD
• Vicki Bell

  • Physical Therapy Assistant
  • Pineville, LA
  • NPI 1477979375
  NPD (past)
• Mary J Greer, OTR, MOT

  • Occupational Therapist
  • Pineville, LA
  • NPI 1346591211
  NPD (past)
• Amy Jameson, O.T.

  • Occupational Therapist
  • Pineville, LA
  • NPI 1750558730
  NPD (past)
• Briana Lewis

  • Physical Therapist
  • Pineville, LA
  • NPI 1255758843
  NPD (past)
• Rachel Robinson Meredith, COTA/L

  • Occupational Therapy Assistant
  • Pineville, LA
  • NPI 1659798544
  NPD (past)
• Scott Morin, P.T.

  • Physical Therapist
  • Pineville, LA
  • NPI 1952578932
  NPD (past)
• Richard Villemarette, PT

  • Physical Therapist
  • Pineville, LA
  • NPI 1871760868
  NPD (past)
• Benjamen K Warner, MOT, LOTR

  • Occupational Therapist
  • Columbia, LA
  • NPI 1558861369
  NPD (past)
• Johanna Siegel Welch, COTA

  • Occupational Therapy Assistant
  • Pineville, LA
  • NPI 1982020798
  NPD (past)
• Casey Leann Soileau Bullard, PT,DPT

  • Physical Therapist
  • League City, TX
  • NPI 1861962771
  NPD (past)
• Alice Foreman, SLP/MS

  • Speech-Language Pathologist
  • Harrodsburg, KY
  • NPI 1891950747
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1427055193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 MILITARY HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713605042",
            "telephone_number": "318-443-9305",
            "fax_number": "318-443-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 MILITARY HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713605042",
            "telephone_number": "318-443-9305",
            "fax_number": "318-443-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "LANFORD",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "CLAIBORNE",
        "authorized_official_title_or_position": "ADMINISTER",
        "authorized_official_telephone_number": "318-446-6169"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1435198",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rays Pharmacy 2 LLC (Ray Pharmacy 2)
• Alli Records, RSW
• Red River Manufacturing Inc. (Red River Healthcare)
• Red River Manufacturing Inc. (Red River Healthcare)
• Red River Manufacturing Inc. (Red River Healthcare)
• Redriver Advocacy
• Janet L. Reich, R.N.
• Amber Nicole Reiszner, LCSW
• Relatyv Mobile Medical LLC
• Stephanie Lynn Rendall, PHARMD

• Physical Therapy Clinic/Center in Pineville, LA
• Providers in Pineville, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.