# CONILOGUE PT LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Fairfield Universal Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811451016
- **Authorized official:** ADAM CONILOGUE DPT (MANAGING MEMBER)
- **Authorized official phone:** (402) 490-6432

## Contact information

- **Practice address:** 1401 S MAIN ST STE 104, FAIRFIELD, IA 52556-3771
- **Practice address phone:** (641) 209-1446
- **Mailing address:** 1401 S MAIN ST STE 104, FAIRFIELD, IA 52556-3771
- **Mailing address phone:** (641) 209-1446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 01/22/2019
- **Last updated:** 03/06/2026