Nautilus Massage Therapy by Alyse Conley

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

18674 Issued in OR

Legal business name

NAUTILUS MASSAGE THERAPY BY ALYSE CONLEY

Doing business as

Nautilus Massage Therapy

Practice address

810 E Jackson St Ste B
810 East Jackson St Suite B
Medford, OR 97504-6773

Phone

(154) 173-1137

NPI assigned

Jun 11, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Mary Alyse Conely, LMT

Title

LMT

Phone

(541) 973-1137

Specialties & licenses 1

Addresses

Other names 1

• Nautilus Massage Therapy Doing business as

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.

• Mary Alyse Conley, LMT

  • Specialist
  • Medford, OR
  • NPI 1194080069
  NPD (past)

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1932580255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E JACKSON ST STE B",
            "address_2": "810 EAST JACKSON ST SUITE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046773",
            "telephone_number": "154-173-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E JACKSON ST STE B",
            "address_2": "810 EAST JACKSON ST SUITE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046773",
            "telephone_number": "154-173-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUTILUS MASSAGE THERAPY BY ALYSE CONLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "CONELY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ALYSE",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "541-973-1137",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "OR",
            "license": "18674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nautilus Massage Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lyndsay Meriel Nashington, SLP
• Abdullah Nasir, MD
• Shawn Elizabeth Nasralla
• Nathan Lewis DPT, LLC (Rogue Physical Therapy)
• National Vision, Inc.
• Ayse Navarro, RDH
• Maria D. Navarro
• Janine Nave
• Douglas N Naversen, M.D.
• Jessica Nawoichik, RN/NP

• Point of Service in Medford, OR
• Providers in Medford, OR by specialty
• Point of Service in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.