NPI Code Detail JSON Logo

1023807385 NPI number — JAMES ROLAND PT, DPT

NPI Number: 1023807385
Health Care Provider/Practitioner: JAMES ROLAND PT, DPT

Information about “1023807385” NPI (JAMES ROLAND PT, DPT) exists in 1023807385 in HTML format HTML  |  1023807385 in plain Text format TXT  |  1023807385 in PDF (Portable Document Format) PDF  |  1023807385 in an XML format XML  formats.

NPI Number : 1023807385 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023807385",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROLAND",
    "FirstName": "JAMES",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT, DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6721 WASHINGTON AVE APT 28K",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OCEAN SPRINGS",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39564-2175",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "229-563-1407",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4016 CASSIMER AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DIBERVILLE",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39540-2309",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "228-280-8120",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/03/2025",
    "LastUpdateDate": "05/03/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "X",
    "Gender": null,
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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