Active NPI
Danielle Roussel, OT
- Occupational Therapist
- Covington, LA
National Provider Identifier
1619710779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.200458
- Practice address
- 2000 Covington Ctr
Covington, LA 70433-2979 - Phone
- (985) 237-1921
- NPI assigned
- Jun 17, 2024
- Last updated
- Jun 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.200458 | LA | Primary |
Addresses
Primary practice location
2000 Covington Ctr
Covington, LA 70433-2979
Mailing address
53 Magnolia Ridge Dr
Madisonville, LA 70447-9791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.200458 | LA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1619710779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 MAGNOLIA RIDGE DR",
"city": "MADISONVILLE",
"state": "LA",
"postal_code": "704479791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 COVINGTON CTR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704332979",
"telephone_number": "985-237-1921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSSEL",
"first_name": "DANIELLE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "OT.200458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.