Dustin Roussel

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

09062R Issued in LA

Practice address

3939 Houma Blvd
Ste 17
Metairie, LA 70006-2931

Phone

(504) 885-9121

NPI assigned

Nov 11, 2015

Last updated

Nov 11, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Cypress PT SJP LLCGroup PAC ID 5193086213, 6 clinicians

Cypress Physical Therapy LLCGroup PAC ID 8628359114, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cypress Physical Therapy LLC

  • Physical Therapist
  • La Place, LA
  • NPI 1770934986
  Medicare reassignment Care Compare group NPD
• Cypress PT SJP LLC

  • Physical Therapist
  • Gramercy, LA
  • NPI 1538678404
  Medicare reassignment Care Compare group NPD
• Orthoptic's Inc.

  dba Orthoptic Rehab Clinic Of Metaine

  • Physical Therapist
  • Metairie, LA
  • NPI 1306842257
  Medicare reassignment NPD
• Cypress PT Ascension

  dba Cypress Physical Therapy

  • Physical Therapist
  • Gonzales, LA
  • NPI 1316732886
  NPD (past)

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1194198267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 3RD ST",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "STE 17",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062931",
            "telephone_number": "504-885-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEL",
        "first_name": "DUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "09062R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Corey Rougelot, M.D.
• Henry Phillip Rouquette, PHARMACIST
• Elizabeth Rourke, D.O, MPH
• Laura Rouser, LPC
• Benjamin Roussel, DPT
• Gesielle Roussel
• Gina Pisciotta Roussel, LPC, NCC
• Jared Roussel
• Kaitlin Roussel
• Cassidy Williams Roussell, PHARMD.

• Physical Therapy Clinic/Center in Metairie, LA
• Providers in Metairie, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.