Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laura Lynne Goulbourne, BS

Individual provider Physical Therapist · NPI 1154651719

Laura Lynne Goulbourne, BS is a Physical Therapist in Private Practice in Evansville, Indiana. Qualified in 1995, 31 years ago. Practices with Prorehab Inc, a 81-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
31
Licensed in
KY
In the registry since
2010
Specialties on file
2
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

415 Crosslake Dr Ste B
Evansville, IN 47715-8272
Phone: (812) 476-0409
Fax: (812) 476-0409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X · Licence 002881 (KY)

Record details

NPI number1154651719
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorNo
NPI enumeratedJanuary 5, 2010
Last updated in NPPESApril 13, 2020
Certification dateApril 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Prorehab Inc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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