Rogue Prosthetics, LLC

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

ROGUE PROSTHETICS, LLC

Practice address

411 E Hospital St
Nacogdoches, TX 75961-5253

Phone

(936) 225-3339

Fax

(936) 571-0599

NPI assigned

Nov 13, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sheri Hatt, LPONPI 1356640205

Title

Ceo

Phone

(936) 225-3339

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheri Hatt, LPO, BOCPO

  • Prosthetist
  • Bastrop, TX
  • NPI 1356640205

  Orthotist

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1306660600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E HOSPITAL ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615253",
            "telephone_number": "936-225-3339",
            "fax_number": "936-571-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E HOSPITAL ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615253",
            "telephone_number": "936-225-3339",
            "fax_number": "936-571-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "HATT",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-225-3339",
        "authorized_official_credential": "LPO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnpaul Rodrigues, PT, DPT
• Carolina Rodriguez-Vargas, LMSW
• Alejandro Rodriguez, MS, LAT, ATC
• Marti Leanne Rodriguez, MS, RD, LD
• Kenedy Etta Rogers
• Salena Rothenberger
• Kira Rubin, ATC
• Don Paul Rudasill, O.D.
• Melanie G Rushing, O.D.
• Peni Jean Russell

• Prosthetist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Prosthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.