Alicia M. Roussin, DR.
NPI 1578298055ActiveIndividual· Physical Therapist, Pediatrics· Albuquerque, NM
Physical Therapist, Pediatrics (DR.) in Albuquerque, New Mexico, licensed in NM, with an NPI issued in July 2022. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1578298055 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DR. |
| Sole proprietor | Yes |
| NPI issued | Jul 19, 2022 |
| Last updated in NPPES | Dec 19, 2024 |
| Certified by provider | Dec 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Pediatrics Primary | 2251P0200X | PT6152 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NM) |
|---|
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