Eclipse Athletics, LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

ECLIPSE ATHLETICS, LLC

Practice address

9233 S Mingo Rd
Tulsa, OK 74133

Phone

(918) 893-4262

NPI assigned

Jun 29, 2023

Organization subpart

No

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

Authorized official

Name

Matthew Aaron Dylan Schupp

Title

Owner

Phone

(918) 893-4262

Specialties & licenses 1

Addresses

Other names 1

• CrossFit Eclipse Doing business as

Locations

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1902583263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9233 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "918-893-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9233 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "918-893-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLIPSE ATHLETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "SCHUPP",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "AARON DYLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-893-4262"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CrossFit Eclipse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dejah Echols
• Catherin Eckelt
• Charles S Eckelt Sr., LPC, NCC
• John L. Eckenrode, M.D.
• Matthew J Eckenrode, MS, LPC-C
• Eclipse Healthcare, L.L.C.
• Eclucenta, Inc
• Econoir, PLLC
• Anthony Economou, D.O.
• Economy Pharmacy

• Health & Wellness Coach in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Health & Wellness Coach in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.