Organization Active NPI

Rogue Physical Therapy LTD

  • Physical Medicine & Rehabilitation Physician
  • Denver, CO
National Provider Identifier
1831870591
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ROGUE PHYSICAL THERAPY LTD
Practice address
4720 Elm CT
Denver, CO 80211-1147
Phone
(650) 339-1312
NPI assigned
Jul 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Caitlin FovenyessyNPI 1982326518
Title
Owner
Phone
(650) 339-1312

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

4720 Elm CT
Denver, CO 80211-1147

Mailing address

4720 Elm CT
Denver, CO 80211-1147
Phone (650) 339-1312

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250305001345 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244684074 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

324 S Broadway
Denver, CO 80209
Phone (650) 339-1312

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1831870591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 ELM CT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111147",
            "telephone_number": "650-339-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 ELM CT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111147",
            "telephone_number": "650-339-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE PHYSICAL THERAPY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "FOVENYESSY",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-339-1312"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.