Organization Active NPI

Rogue Therapy Professionals PLLC

  • Physical Therapist
  • Fayetteville, AR
National Provider Identifier
1720607443
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ROGUE THERAPY PROFESSIONALS PLLC
Practice address
14030 Hummingbird Rd
Fayetteville, AR 72701-0358
Phone
(501) 733-6113
NPI assigned
Apr 13, 2020
Last updated
Jun 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Colin WhiteNPI 1477508422
Title
Owner
Phone
(501) 453-3361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

14030 Hummingbird Rd
Fayetteville, AR 72701-0358

Mailing address

14030 Hummingbird Rd
Fayetteville, AR 72701-0358
Phone (501) 733-6113

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1720607443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14030 HUMMINGBIRD RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727010358",
            "telephone_number": "501-733-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14030 HUMMINGBIRD RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727010358",
            "telephone_number": "501-733-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE THERAPY PROFESSIONALS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-453-3361"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.