Organization Active NPI

Rogue Rehabilitation and Performance

  • Sports Physical Therapist
  • Salt Lake City, UT
National Provider Identifier
1497320691
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Legal business name
ROGUE REHABILITATION AND PERFORMANCE
Practice address
1470 400 West
Salt Lake City, UT 84115
Phone
(503) 975-5149
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Adam Schiltz, DPTNPI 1528477635
Title
Owner
Phone
(503) 975-5149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251S0007X Primary

Addresses

Primary practice location

1470 400 West
Salt Lake City, UT 84115

Mailing address

1547 W Dupont Ave
Salt Lake City, UT 84116-3608

Other identifiers 1

IdentifierTypeStateIssuer
1528477635MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adam@rogurehabilitation.com Direct

National Provider Directory

National Provider Directory

Locations

1059 E 900 S
Ste B1
Salt Lake City, UT 84105

1435 S State St
Salt Lake City, UT 84115

1059 E 900 S
Ste B
Salt Lake City, UT 84105

1470 S 400 W
South Salt Lake, UT 84115
Phone (206) 930-8971

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1497320691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 W DUPONT AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841163608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 400 WEST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84115",
            "telephone_number": "503-975-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE REHABILITATION AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "SCHILTZ",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-975-5149",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528477635",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adam@rogurehabilitation.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "1470 400 West",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.