Olivia Rousseau

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2021019379 Issued in MO

Practice address

2716 Forum Blvd Ste 3
Columbia, MO 65203-5450

Phone

(573) 257-8580

NPI assigned

Apr 14, 2025

Sex

Unspecified or another gender identity

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

Practice roles

Locations

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.

• Revive Rehab, LLC

  • Physical Therapist
  • Columbia, MO
  • NPI 1952168429
  NPD

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1710772264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 TEAKWOOD CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 FORUM BLVD STE 3",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035450",
            "telephone_number": "573-257-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEAU",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2021019379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Elizabeth Ross, DO
• Lynn Ann Rossy, PH.D.
• Donald Rostice Jr.
• Richard John Rother Jr., P.T.
• Kaitlyn Marie Rountree, D.O.
• Patrick David Rowan, MD
• Anne Lindsey Rowe, MPT
• Jennifer Rowland
• Tessa Rowland
• Joanne Ruth Rowles, APRN, BC

• Physical Therapist in Columbia, MO
• Providers in Columbia, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.