Active NPI
Rogue Rehabilitation and Performance
- Sports Physical Therapist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam Schiltz, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528477635 | Medicaid | UT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adam@rogurehabilitation.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Salem, OR
- NPI 1528477635
-
- Physical Therapist
- Loveland, CO
- NPI 1437042124
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.