=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255280202
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | APEX PHYSICAL THERAPY OF RUSTON LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/23/2026
-----------------------------------------------------
Last Update Date | 01/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 S VIENNA ST
-----------------------------------------------------
City | RUSTON
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71270-5832
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-470-3111
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 332
-----------------------------------------------------
City | STONEWALL
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71078-0332
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-470-3111
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/DPT
-----------------------------------------------------
Name | WILLIAM DOUGLAS JAMES
-----------------------------------------------------
Credential | DPT
-----------------------------------------------------
Telephone | 318-470-3111
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------