MARY ROUSSEAU ATC
NPI 1164893905
Specialist/Technologist - Athletic Trainer in Boonton, NJ

Active since October 19, 2015
423 CORNELIA ST, BOONTON, NJ 07005(862) 579-8441 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Rousseau Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ROUSSEAU ATC (NPI 1164893905) is an individual athletic trainer provider in Boonton, New Jersey and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1164893905
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMARY ROUSSEAUCredential: ATC
Location Address423 CORNELIA STBoonton, NJ 07005-1804
Mailing Address423 Cornelia StBoonton, NJ 07005-1804 · (862) 579-8441
Sole ProprietorYes
Enumeration DateOctober 19, 2015
NPI 1164893905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
423 CORNELIA ST, Boonton, NJ 07005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Rousseau's NPI number?

The NPI number for Mary Rousseau is 1164893905. It was assigned to this individual provider in the NPPES registry on October 19, 2015.

Where is Mary Rousseau located?

Mary Rousseau practices at 423 Cornelia St, Boonton, NJ 07005. The listed phone number is (862) 579-8441.

What is Mary Rousseau's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Mary Rousseau was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.