Krysia Kristine Rousseau, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7161 Issued in ID

Practice address

704 N Nebula CT
Star, ID 83669-5554

Phone

(208) 703-9824

NPI assigned

Aug 6, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adi Rehab, Incorporated

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1104850197
  NPD
• Evolution Physical Therapy, Inc

  • Physical Therapist
  • Culver City, CA
  • NPI 1174601116
  NPD
• Rehab Specialists, Inc

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1487717153
  NPD
• Schopp Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Torrance, CA
  • NPI 1295367134
  NPD
• Next Phase Medical PC

  • General Practice Physician
  • Culver City, CA
  • NPI 1821961863
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1093489601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N NEBULA CT",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695554",
            "telephone_number": "208-703-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N NEBULA CT",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695554",
            "telephone_number": "208-703-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEAU",
        "first_name": "KRYSIA",
        "middle_name": "KRISTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "7161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Raymond, LCSW
• Ridleys Family Markets Inc
• Jakob Rodgers, DDS
• Linda K Rogers-Perkins, LCSW
• Vanessa Joana Rojas-Bautista, R.D.N.
• Kari-Lyn Ruby, LMT
• Melinda W Sater, PHARM.D.
• Kourtney Schaffner, CCC-SLP
• Clayton Towner Shaw, P.T.
• Alyssa Shirley, OTR/L

• Physical Therapist in Star, ID
• Providers in Star, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.