Provider Demographics
NPI:1639635394
Name:OUTCOMES THERAPY OPS
Entity Type:Organization
Organization Name:OUTCOMES THERAPY OPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:PRATER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:512-590-0842
Mailing Address - Street 1:9430 RESEARCH BLVD STE 2-350
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-6586
Mailing Address - Country:US
Mailing Address - Phone:512-590-0842
Mailing Address - Fax:
Practice Address - Street 1:9430 RESEARCH BLVD STE 2-350
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-6586
Practice Address - Country:US
Practice Address - Phone:512-590-0842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-18
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty