Matthew Rollag, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1210 W 18TH St Ste G01
Sioux Falls, SD 57104-4651

Phone

(605) 328-2663

NPI assigned

Dec 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467967828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 W PENTAGON PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571071104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W 18TH ST STE G01",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044651",
            "telephone_number": "605-328-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 W Pentagon Pl",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571071104",
            "country_code": "US",
            "telephone_number": "605-312-7840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLLAG",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "SD",
            "license": "1947",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher John Rokeh, RPTA
• Anlee M Rola
• Stacy Rolfes, PHARMD
• Eric S Rolfsmeyer, MD
• Alaina Rollag
• Gabriel Roman Souza, MD
• April Ann Roman, PA-C
• Ronda J Maass, LLC
• Mollie Ronge, MDIV
• Jade Renee Ronk, MSW, LCSW, QMHP

• Physical Therapist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.