Active NPI
Lois Poland
- Occupational Therapist
- Ruston, LA
National Provider Identifier
1679025852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR2027
- Practice address
- 11721 Clay Ansley Hwy
Ruston, LA 71270-8257 - Phone
- (318) 548-8831
- NPI assigned
- Nov 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR2027 | AR | Primary |
Addresses
Primary practice location
11721 Clay Ansley Hwy
Ruston, LA 71270-8257
Mailing address
11721 Clay Ansley Hwy
Ruston, LA 71270-8257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR2027 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478131200000",
"number": "1679025852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11721 CLAY ANSLEY HWY",
"city": "RUSTON",
"state": "LA",
"postal_code": "712708257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11721 CLAY ANSLEY HWY",
"city": "RUSTON",
"state": "LA",
"postal_code": "712708257",
"telephone_number": "318-548-8831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLAND",
"first_name": "LOIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-03",
"last_updated": "2016-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR2027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ruston, LA
- Kerrilyn Phillips, SLP.D.
- Michael Shane Phillips, M.D.
- Pierce Optometry, LLC (Northside Eye Care)
- Robert Howard Pierce Jr., O.D.
- PMG Opco-Alpine LLC (Alpine Skilled Nursing and Rehabilitation)
- Jamie Marie Portacci, APRN, FNP-C
- Byron Pottorff, MS, ATC
- Katie Browning Potts, O.T.
- Frederic Poulin, P. T.
- James Powell, SOCIAL WORK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.