Organization Active NPI

Roussel Therapy Services, LLC

  • Speech-Language Pathologist
  • Lutcher, LA
National Provider Identifier
1336879840
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ROUSSEL THERAPY SERVICES, LLC
Practice address
1959 Highway 3125 Ste 3
Lutcher, LA 70071-5641
Phone
(504) 343-1292
NPI assigned
Jun 16, 2022
Last updated
Nov 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Kelly RousselNPI 1114321957
Title
Owner/SLP
Phone
(504) 343-1292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

1959 Highway 3125 Ste 3
Lutcher, LA 70071-5641

Mailing address

1959 Highway 3125 Ste 3
Lutcher, LA 70071-5641
Phone (225) 258-9301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230106002809 LA Part B Supplier - Clinic/Group Practice 4284004524 Receives reassigned benefits from 5 practitioners
Practice locations: Lutcher, LA

National Provider Directory

National Provider Directory

Locations

1959 Highway 3125
Ste 3
Lutcher, LA 70071
Phone (225) 247-5663

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1336879840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 HIGHWAY 3125 STE 3",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715641",
            "telephone_number": "225-258-9301",
            "fax_number": "225-258-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 HIGHWAY 3125 STE 3",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715641",
            "telephone_number": "504-343-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUSSEL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "ROUSSEL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "504-343-1292"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutcher, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.