Active NPI
Rogue Therapy Professionals PLLC
- Physical Therapist
- Fayetteville, AR
National Provider Identifier
1720607443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2020
- 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
- Colin White
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Physical Therapist
- Fayetteville, AR
- NPI 1477508422
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.