Active NPI
Nicole A Saulovich-Rogan, DPT
- Physical Therapist
- Usaf Academy, CO
National Provider Identifier
1902492267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT296957
- Practice address
- 10TH Medical Group
1402 Pinion Drive
Usaf Academy, CO 80840 - Phone
- (195) 242-2737
- NPI assigned
- Dec 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 296957 | CA | |
| Physical Therapist | 225100000X | PT296957 | CA | Primary |
Addresses
Primary practice location
10TH Medical Group
1402 Pinion Drive
Usaf Academy, CO 80840
Mailing address
10TH Medical Group
4102 Pinion Drive
Usaf Academy, CO 80840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 296957 | CA | MD | Physical Therapist |
| PT296957 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1902492267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10TH MEDICAL GROUP",
"address_2": "4102 PINION DRIVE",
"city": "USAF ACADEMY",
"state": "CO",
"postal_code": "80840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10TH MEDICAL GROUP",
"address_2": "1402 PINION DRIVE",
"city": "USAF ACADEMY",
"state": "CO",
"postal_code": "80840",
"telephone_number": "195-242-2737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAULOVICH-ROGAN",
"first_name": "NICOLE",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2023-06-02",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "296957",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT296957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Usaf Academy, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.