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ALICIA M ROUSSIN DR.
NPI 1578298055
Physical Therapist - Pediatrics in Albuquerque, NM

Active since July 19, 2022
5006 COPPER AVE NE, ALBUQUERQUE, NM 87108(505) 268-7988(505) 268-8021 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 19, 2024, Jul 19, 2022 (2 updates tracked since 2022).

About Alicia M Roussin Dr. NPPES

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

ALICIA M ROUSSIN DR. (NPI 1578298055) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (PT6152) and active in the NPI registry since July 2022. She maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1578298055
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameALICIA M ROUSSINCredential: DR.
Location Address5006 COPPER AVE NEAlbuquerque, NM 87108-1301
Mailing Address5006 Copper Ave NeAlbuquerque, NM 87108-1301 · (505) 268-7988 · Fax (505) 268-8021
Phone(505) 268-7988
Fax(505) 268-8021
Sole ProprietorYes
Enumeration DateJuly 19, 2022
Last NPPES UpdateDecember 19, 20242 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
✔ NPI 1578298055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in NM · PT6152
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
5006 COPPER AVE NE, Albuquerque, NM 87108
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Secondary Practice Location 1

Location 16745 Academy Rd NE Ste AAlbuquerque, NM 87109-3373 · Phone (505) 933-7865 · Fax (505) 295-4179

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia M Roussin Dr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Alicia Roussin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Balanced Physical Therapy And Wellness, LLC
8.3 mi
Physical Therapy
7849 TRAMWAY BLVD NE STE A
Albuquerque, NM 87122
  • Reassigned Medicare billing, New Mexico enrollment
  • 59 clinicians in this Medicare group
NPI 1407234917 (505) 821-3831

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA MERISSA MARTINEZ
Physical Therapist
5006 COPPER AVE NE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 268-7988
KENDRA MYERS OT
Occupational Therapist (Pediatrics)
5006 COPPER AVE NE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 268-7988
HAYLEY M DAVIS PT
Physical Therapist (Pediatrics)
5006 COPPER AVE NE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 268-7988
YLEANA LUCERO
Physical Therapist (Pediatrics)
5006 COPPER AVE NE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 268-7988
LUCY G SALAZAR
Physical Therapist
5006 COPPER AVE NE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 268-7988
AUDREY LYNN PADILLA COOPER
Occupational Therapist
5006 COPPER AVE NE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 268-7988
PATRICK LEVI SARSON OTR/L
Occupational Therapist
5006 COPPER AVE NE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 268-7988
ANNISA SUZETTE PENFOLD PTA
Physical Therapy Assistant
5006 COPPER AVE NE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 268-7988

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 Alicia Roussin's NPI number?

The NPI number for Alicia Roussin is 1578298055. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Alicia Roussin located?

Alicia Roussin practices at 5006 Copper Ave NE, Albuquerque, NM 87108. The listed phone number is (505) 268-7988.

What is Alicia Roussin's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Alicia Roussin enrolled in Medicare?

Yes. Alicia Roussin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alicia Roussin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Roussin reassigns Medicare benefits to Balanced Physical Therapy And Wellness, LLC (Albuquerque, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alicia Roussin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alicia Roussin was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.