Active NPI
Roose Performance LLC
- Public Health or Welfare Agency
- Gulf Breeze, FL
National Provider Identifier
1821893793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- ROOSE PERFORMANCE LLC
- Doing business as
- D1 Sports Training
- Practice address
- 3335 Gulf Breeze Pkwy Ste 107a
Gulf Breeze, FL 32563-3351 - Phone
- (850) 641-1172
- NPI assigned
- Feb 15, 2025
- 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
- Michael Roose, CSCS
- Title
- Owner
- Phone
- (239) 247-0081
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
3335 Gulf Breeze Pkwy Ste 107a
Gulf Breeze, FL 32563-3351
Mailing address
3335 Gulf Breeze Pkwy Ste 107a
Gulf Breeze, FL 32563-3351
Phone (850) 641-1172
Other names 1
- D1 Sports Training
National Provider Directory
National Provider DirectoryLocations
3335 Gulf Breeze Pkwy
Ste 107A
Gulf Breeze, FL 32563
Phone (850) 641-1172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739577600000",
"number": "1821893793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3335 GULF BREEZE PKWY STE 107A",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325633351",
"telephone_number": "850-641-1172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3335 GULF BREEZE PKWY STE 107A",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325633351",
"telephone_number": "850-641-1172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOSE PERFORMANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-15",
"last_updated": "2025-02-15",
"certification_date": "2025-02-15",
"status": "A",
"authorized_official_last_name": "ROOSE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-247-0081",
"authorized_official_credential": "CSCS"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "D1 Sports Training",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.