{
"Npi": {
"NPI": "1003000498",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BURDINE PHYSICAL THERAPY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "P.O. BOX 1026",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HUNTSVILLE",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "35807-2728",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "256-534-5946",
"MailingAddressFaxNumber": "256-534-3041",
"FirstLinePracticeLocationAddress": "311 LONGWOOD DR, SW",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HUNTSVILLE",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "35801-2728",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "256-534-5946",
"PracticeLocationAddressFaxNumber": "256-534-3041",
"EnumerationDate": "08/29/2007",
"LastUpdateDate": "10/29/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BURDINE",
"AuthorizedOfficialFirstName": "DOROTHY",
"AuthorizedOfficialMiddleName": "I",
"AuthorizedOfficialTitle": "OWNER/PHYSICAL THERAPIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PT",
"AuthorizedOfficialTelephoneNumber": "256-534-5946",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "PTH2024",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}