Benjamin Roussel, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

09086 Issued in LA

Practice address

321 Veterans Memorial Blvd
Suite 100
Metairie, LA 70005-3026

Phone

(504) 834-9259

Fax

(504) 834-9281

NPI assigned

Jul 31, 2015

Sex

Male

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Movement Science Center

  • Physical Therapy Clinic/Center
  • Covington, LA
  • NPI 1013468677
  NPD (past)

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1669858783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053026",
            "telephone_number": "504-834-9259",
            "fax_number": "504-834-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053026",
            "telephone_number": "504-834-9259",
            "fax_number": "504-834-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEL",
        "first_name": "BENJAMIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amonie J Rouege
• Randall Corey Rougelot, M.D.
• Henry Phillip Rouquette, PHARMACIST
• Elizabeth Rourke, D.O, MPH
• Laura Rouser, LPC
• Dustin Roussel
• Gesielle Roussel
• Gina Pisciotta Roussel, LPC, NCC
• Jared Roussel
• Kaitlin Roussel

• All providers in Metairie, LA
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.