NPI Code Detail JSON Logo

1043646086 NPI number — HEIDI MARIE SCHAUSS PT

NPI Number: 1043646086
Health Care Provider/Practitioner: HEIDI MARIE SCHAUSS PT

Information about “1043646086” NPI (HEIDI MARIE SCHAUSS PT) exists in 1043646086 in HTML format HTML  |  1043646086 in plain Text format TXT  |  1043646086 in PDF (Portable Document Format) PDF  |  1043646086 in an XML format XML  formats.

NPI Number : 1043646086 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043646086",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHAUSS",
    "FirstName": "HEIDI",
    "MiddleName": "MARIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MUNICH",
    "OtherFirstName": "HEIDI",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "PT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "33308 ELECTRIC BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AVON LAKE",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44012-1216",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "440-933-3858",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "671 COLUMBIA RD",
    "SecondLinePracticeLocationAddress": "SUITE 2",
    "PracticeLocationAddressCityName": "WESTLAKE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44145-1477",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "440-250-8895",
    "PracticeLocationAddressFaxNumber": "440-250-8854",
    "EnumerationDate": "09/23/2013",
    "LastUpdateDate": "09/23/2013",
    "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": "2251X0800X",
        "TaxonomyName": "Orthopedic Physical Therapist",
        "LicenseNumber": "7479",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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