Outlast Therapeutics LTD. Co.

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

OUTLAST THERAPEUTICS LTD. CO.

Practice address

6211 San Mateo Blvd NE Ste 200
Albuquerque, NM 87109-3534

Phone

(505) 373-2833

NPI assigned

Oct 24, 2018

Last updated

Oct 24, 2018By 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

Stephani McCoyNPI 1710469002

Title

Owner

Phone

(505) 967-6901

Specialties & licenses 1

Addresses

Locations

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.

• Stephani McCoy

  • Massage Therapist
  • Albuquerque, NM
  • NPI 1710469002
  NPD (past) Authorized official

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1770050189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 MARTA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143897",
            "telephone_number": "505-967-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 SAN MATEO BLVD NE STE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093534",
            "telephone_number": "505-373-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTLAST THERAPEUTICS LTD. CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "STEPHANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-967-6901"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan J Ouellette Morrow, CRNA
• Joseph Agage Ouma, M.D.
• Ouroaxis Therapy, LLC
• Ouroaxis Therapy, LLC
• Outcomes Inc
• Michelle Outlaw, FNP-BC
• Sophia Outley, BA
• Bianca Ovalle
• Over and Above LLC
• Over the Edge Group Home for Disable (over the edge)

• Massage Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Massage Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.