Norma Khalife Rouillard, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 29262 Issued in CA

Practice address

8790 Cuyamaca St
Suite a
Santee, CA 92071-4295

Phone

(619) 596-5969

Fax

(619) 596-5970

NPI assigned

Jun 1, 2005

Last updated

Nov 27, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1194727305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113743",
            "telephone_number": "888-208-8526",
            "fax_number": "858-751-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 CUYAMACA ST",
            "address_2": "SUITE A",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714295",
            "telephone_number": "619-596-5969",
            "fax_number": "619-596-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUILLARD",
        "first_name": "NORMA",
        "middle_name": "KHALIFE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 29262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OPT292620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rudolph E. Roman, D.M.D.
• Lairlyn Anonuevo Romeroso, RN
• Shielamae Gealon Roque
• Michelle Rosenberg, PHARMD
• Mark Rothstein, D.M.D.
• RSWC
• Sydney Ann Rubi, SUDRC
• Cassandra Rebecca Rude, MA
• Rudolph E. Roman, D.M.D, Inc (Rudolph E. Roman, D.M.D)
• Melody A Rudolph, BS, CMT, CST, CIMI

• Physical Therapist in Santee, CA
• Providers in Santee, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.