{
"Npi": {
"NPI": "1003909490",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HUSTON",
"FirstName": "PATRICIA",
"MiddleName": "SALIN",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "M.S.P.T.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HUSTON",
"OtherFirstName": "PAT",
"OtherMiddleName": "SALIN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MSPT",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "1110 ROSE HILL DR",
"SecondLineMailingAddress": "STE 101",
"MailingAddressCityName": "CHARLOTTESVILLE",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22903-5159",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "434-979-5559",
"MailingAddressFaxNumber": "434-979-0747",
"FirstLinePracticeLocationAddress": "1110 ROSE HILL DR",
"SecondLinePracticeLocationAddress": "STE 101",
"PracticeLocationAddressCityName": "CHARLOTTESVILLE",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "22903-5159",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "434-979-5559",
"PracticeLocationAddressFaxNumber": "434-979-0747",
"EnumerationDate": "09/30/2006",
"LastUpdateDate": "04/10/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225100000X",
"TaxonomyName": "Physical Therapist",
"LicenseNumber": "2305005458",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}