Rogue Rehabilitation And Performance

LBN: Rogue Rehabilitation And Performance
Rogue Rehabilitation And Performance is an health care organization with primary practice located at 1470 400 West , Salt Lake City UT 84115. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as the primary health care specialty. Rogue Rehabilitation And Performance can be contacted via phone (503) 975-5149, or through Schiltz, Adam via phone (503) 975-5149.

Contact Information

Primary practice address
1470 400 West Salt Lake City UT 84115
Phone: (503) 975-5149
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Schiltz, Adam DPT
Phone: (503) 975-5149

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X

Profile Details

NPI number 1497320691
LBN Legal business name Rogue Rehabilitation And Performance
DBA Doing business as
Authorized official Schiltz, Adam DPT
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2021
Last updated May 21st, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497320691 NPPES
Utah MEDICAID 1528477635

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