Allison Elise Roan, PT, DPT, CES

Individual provider Active NPI Physical Therapist · Bernice, LA

NPI 1972307569 · NPPES record last updated Apr 2, 2025

Key facts

NPI
1972307569
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
11899 (LA)
Practice address
409 1St St
Bernice, LA 71222-4001
Phone
(318) 285-9066
NPI assigned
Apr 2, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11899LAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11899 LA Yes

Addresses

Primary practice location

409 1St St
Bernice, LA 71222-4001

Mailing address

867 Raymond Odom Rd
Farmerville, LA 71241-8275
Phone (318) 355-5265

Other providers in Bernice, LA

All providers in Bernice, LA · Physical Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.