Rebecca Rousseau, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

136516 Issued in AK

Practice address

3455 Rewak Dr
Fairbanks, AK 99709-5024

Phone

(907) 457-5322

NPI assigned

Oct 9, 2018

Sex

Female

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

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": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1518432186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SHEA ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014204889",
            "telephone_number": "978-870-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 REWAK DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095024",
            "telephone_number": "907-457-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEAU",
        "first_name": "REBECCA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "136516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Christine Ross, PSYD
• Alexandra Rosson, RN
• Danny Joe Roth, CRNA, APN
• Chadford Roush
• James Roush, RN-MSN
• Allison Rowland, BA
• Denisha Faye Rowles, PTA
• Ashley Nichole Royer
• Michael J Roylance, PA-C
• Amber Rozen, RN

• Physical Therapist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.