Individual provider Active NPI

Isaiah Urrutia

  • Massage Therapist
  • Albuquerque, NM
National Provider Identifier
1649959305
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA100105 Issued in FL
Practice address
115 Casey Jones PL NE
Albuquerque, NM 87113-2420
Phone
(505) 553-3623
NPI assigned
Jul 11, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA100105 FL Primary

Addresses

Primary practice location

115 Casey Jones PL NE
Albuquerque, NM 87113-2420

Mailing address

115 Casey Jones PL NE
Albuquerque, NM 87113-2420
Phone (505) 553-3623

Other practice location 1

10203 Blanchard Park Trl Apt 2233
Orlando, FL 32817-4830
Phone (505) 553-3623

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

LicenseStateTypeSpecialty
MA100105FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1649959305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CASEY JONES PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132420",
            "telephone_number": "505-553-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CASEY JONES PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132420",
            "telephone_number": "505-553-3623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10203 Blanchard Park Trl Apt 2233",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328174830",
            "country_code": "US",
            "telephone_number": "505-553-3623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URRUTIA",
        "first_name": "ISAIAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA100105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.