NPIMap

Organization Active NPI

Conilogue PT LLC

Doing business as Fairfield Universal Therapy

  • Physical Therapist
  • Fairfield, IA
National Provider Identifier
1811451016
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CONILOGUE PT LLC
Doing business as
Fairfield Universal Therapy
Practice address
1401 S Main St Ste 104
Fairfield, IA 52556-3771
Phone
(641) 209-1446
NPI assigned
Jan 22, 2019
Last updated
Mar 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Adam Conilogue, DPTNPI 1932435153
Title
Managing Member
Phone
(402) 490-6432

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

1401 S Main St Ste 104
Fairfield, IA 52556-3771

Mailing address

1401 S Main St Ste 104
Fairfield, IA 52556-3771
Phone (641) 209-1446

Other names 1

  • Fairfield Universal Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190312002319 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7416297312 Receives reassigned benefits from 4 practitioners
Practice locations: Fairfield, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1811451016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S MAIN ST STE 104",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563771",
            "telephone_number": "641-209-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S MAIN ST STE 104",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563771",
            "telephone_number": "641-209-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONILOGUE PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "CONILOGUE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "402-490-6432",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfield Universal Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairfield Universal Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.