MEDICARE: CARSON ROUSH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist		IN

General Provider Information

NPI Number	:	1407791833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARSON ROUSH

Provider Business Mailing Address
First Line	:	1515 SPRING ST
Second Line	:
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-2939
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 SPRING ST
Second Line	:
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-2939
Country	:	US
Telephone Number	:	606-875-7287
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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Directions to “ CARSON ROUSH ” Practice Location

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