Outlaw Running and Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

OUTLAW RUNNING AND PHYSICAL THERAPY LLC

Doing business as

Outlaw Running

Practice address

1813 Bonnycastle LN
Yukon, OK 73099-7941

Phone

(918) 697-5818

NPI assigned

Oct 18, 2022

Last updated

Oct 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Baylor Harvey, DPTNPI 1396478814

Title

Owner/Physical Therapist

Phone

(918) 697-5818

Specialties & licenses 1

Addresses

Other names 1

• Outlaw Running Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Baylor Harvey, PT, DPT

  • Physical Therapist
  • Yukon, OK
  • NPI 1396478814
  NPD Authorized official

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1437875622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 BONNYCASTLE LN",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997941",
            "telephone_number": "918-697-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 BONNYCASTLE LN",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997941",
            "telephone_number": "918-697-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTLAW RUNNING AND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "BAYLOR",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "918-697-5818",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outlaw Running",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angie Osborn, PMHNP-BC
• Summer Osborne
• Tiana Osbourne, DDS
• Osu Center for Health Sciences (Osu-Aj Integris Medical Group Specialists Metro)
• Osu Center for Health Sciences (Osu-Aj Southwest Orthopaedic Specialists-Yukon)
• Hannah Owen
• Jamie Lynn Pacific, B.A.
• Bridgett Page
• Madison Page
• Stephanie Maria Paidoussis, LPC

• Physical Therapy Clinic/Center in Yukon, OK
• Providers in Yukon, OK by specialty
• Physical Therapy Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.