Organization Active NPI

Roose Performance LLC

  • Public Health or Welfare Agency
  • Gulf Breeze, FL
National Provider Identifier
1821893793
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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

Updated by the provider on Feb 15, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.