Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alicia M Roussin, DR

Individual provider Pediatric Physical Therapist · NPI 1578298055

Alicia M Roussin, DR is a Pediatric Physical Therapist in Albuquerque, New Mexico. Practices as a sole proprietor and works from 2 locations. Licensed in New Mexico.

Licensed in
NM
In the registry since
2022

Practice location Address checks out

5006 Copper Ave NE
Albuquerque, NM 87108-1301
Phone: (505) 268-7988
Fax: (505) 268-8021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6745 Academy Rd Ne Ste A, Albuquerque, NM 87109-3373 — (505) 933-7865

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT6152 (NM)

Record details

NPI number1578298055
Entity typeIndividual (Type 1)
GenderFemale
Credentials DR
Sole proprietorYes
NPI enumeratedJuly 19, 2022
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024

Other providers in Albuquerque