{"npi":"1407825060","type":"NPI-2","status":"active","name":{"display":"Lincoln Outpatient Therapy Services","other":[],"organization_name":"LINCOLN OUTPATIENT THERAPY SERVICES","authorised_official":"Matthew Shirley"},"specialty":{"primary_taxonomy":"261QR0400X","primary_taxonomy_description":"Rehabilitation Clinic/Center","slug":"rehabilitation-clinic-center","schema_org_specialty":null,"all":[{"code":"261QR0400X","description":"Rehabilitation Clinic/Center","primary":true,"state":"LA","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1817 NORTHPOINTE LANE","city":"RUSTON","state":"LA","postal_code":"712703879","country_code":"US","phone":"3182559601","fax":"3182557971"},{"purpose":"MAILING","street_1":"PO BOX 1306","city":"RUSTON","state":"LA","postal_code":"712731306","country_code":"US","phone":"3182559601","fax":"3182557971"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"7822443","state":"LA","issuer":"AETNA"},{"type_code":"05","label":"Medicaid","value":"1169234","state":"AL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110311000685","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"LA","pac_id":"9436121159"}]},"enumeration_date":"2006-03-16","last_updated":"2011-12-15","_meta":{"source":"NPPES","snapshot_date":"2011-12-15","doc_url":"https://findmynpi.com/api"}}