| Mr Shane N Rollins, P T | |
|
1200 S Farmerville St, Ruston, LA 71270-5941 | |
| (318) 251-6103 | |
| (318) 251-6141 |
| Full Name | Mr Shane N Rollins |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1200 S Farmerville St, Ruston, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730293879 | NPI | - | NPPES |
| 1006858 | Medicaid | LA | |
| 1599085 | Other | LA | LA PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 06686 (Louisiana) | Primary |
| Provider Name | Green Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891801601 PECOS PAC ID: 4789668831 Enrollment ID: O20050920000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shane N Rollins, P T Po Box 1594, Ruston, LA 71273-1594 Ph: (318) 251-6103 | Mr Shane N Rollins, P T 1200 S Farmerville St, Ruston, LA 71270-5941 Ph: (318) 251-6103 |
Gregory Medlin, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1701 Commerce St, Ruston, LA 71270 Phone: 318-224-8994 | |
Anna Mitchell Cox, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 143 Woodstone Dr, Ruston, LA 71270 Phone: 318-245-3312 | |
Rock Island Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 927 N Trenton St, Ruston, LA 71270 Phone: 318-513-3008 Fax: 318-513-3009 | |
Dan Dupree, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1923 Farmerville Hwy, Ruston, LA 71270 Phone: 318-255-9601 Fax: 318-255-7971 | |
Joseph P Khoury, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 N Monroe St, Ruston, LA 71270 Phone: 318-251-2995 | |
Adele Upshaw, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1923 Farmerville Hwy, Ruston, LA 71270 Phone: 318-255-9601 | |
Stephen Luke Ramsey, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1701 Commerce St, Ruston, LA 71270 Phone: 318-224-8994 Fax: 318-224-7094 |