Megan Marie Rousso, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019957 Issued in MI

Practice address

17141 Kercheval Ave
Grosse Pointe, MI 48230-1660

Phone

(313) 642-4980

Fax

(313) 642-4985

NPI assigned

Jul 12, 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1295307015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17141 KERCHEVAL AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301660",
            "telephone_number": "313-642-4980",
            "fax_number": "313-642-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17141 KERCHEVAL AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301660",
            "telephone_number": "313-642-4980",
            "fax_number": "313-642-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSO",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven D Rimar, MD
• Lisa Diane Rinke, FNP-BC
• Elizabeth Rooney
• Jill Denise Ross, NP
• Sarah L Rosso, MD
• Rosa Rubino-Frye, M.A., CCC-SLP, CBIS
• Earl David Rupert, CRNA
• Sherilyn Josephine Russell, MD
• Ma-Alyssa Saclayan, RN
• Mark R Sadzikowski, MD

• Physical Therapist in Grosse Pointe, MI
• Providers in Grosse Pointe, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.