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1073822722 NPI number — PADMORE OCCUPATIONAL THERAPY, P.C.

NPI Number: 1073822722
Health Care Provider/Practitioner: PADMORE OCCUPATIONAL THERAPY, P.C.

Information about “1073822722” NPI (PADMORE OCCUPATIONAL THERAPY, P.C.) exists in 1073822722 in HTML format HTML  |  1073822722 in plain Text format TXT  |  1073822722 in PDF (Portable Document Format) PDF  |  1073822722 in an XML format XML  formats.

NPI Number : 1073822722 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073822722",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PADMORE OCCUPATIONAL THERAPY, P.C.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "61 W GRAND ST",
    "SecondLineMailingAddress": "STE 0C",
    "MailingAddressCityName": "MOUNT VERNON",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10552-2133",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "61 W GRAND ST",
    "SecondLinePracticeLocationAddress": "STE 0C",
    "PracticeLocationAddressCityName": "MOUNT VERNON",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10552-2133",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-612-6188",
    "PracticeLocationAddressFaxNumber": "866-352-6711",
    "EnumerationDate": "09/29/2010",
    "LastUpdateDate": "01/09/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PADMORE",
    "AuthorizedOfficialFirstName": "JACKIE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "OTR/L",
    "AuthorizedOfficialTelephoneNumber": "718-612-6188",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251300000X",
          "TaxonomyName": "Local Education Agency (LEA)",
          "LicenseNumber": "010811",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "252Y00000X",
          "TaxonomyName": "Early Intervention Provider Agency",
          "LicenseNumber": "010811",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QR0400X",
          "TaxonomyName": "Rehabilitation Clinic/Center",
          "LicenseNumber": "0108011",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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