Active NPI
Matrix Outpatient Therapy, LLC
- Physical Therapist
- Las Cruces, NM
National Provider Identifier
1265318976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MATRIX OUTPATIENT THERAPY, LLC
- Practice address
- 1100 S Main St Ste C
Las Cruces, NM 88005-2917 - Phone
- (575) 525-8755
- Fax
- (575) 525-8795
- NPI assigned
- Aug 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kate Connolly, MSN, RN
- Title
- Administrator
- Phone
- (575) 525-8755
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
1100 S Main St Ste C
Las Cruces, NM 88005-2917
Mailing address
1100 S Main St Ste C
Las Cruces, NM 88005-2917
Phone (575) 525-8755
National Provider Directory
National Provider DirectoryLocations
1100 S Main St
Ste C
Las Cruces, NM 88005
Phone (575) 525-8755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755216000000",
"number": "1265318976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 S MAIN ST STE C",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880052917",
"telephone_number": "575-525-8755",
"fax_number": "575-525-8795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S MAIN ST STE C",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880052917",
"telephone_number": "575-525-8755",
"fax_number": "575-525-8795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATRIX OUTPATIENT THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-15",
"last_updated": "2025-08-15",
"certification_date": "2025-08-14",
"status": "A",
"authorized_official_last_name": "CONNOLLY",
"authorized_official_first_name": "KATE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "575-525-8755",
"authorized_official_credential": "MSN, RN"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.