{
"Npi": {
"NPI": "1083813372",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HEALTHSUMMIT PHYSICAL THERAPY, INC.",
"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": "260 S SUNNYVALE AVE",
"SecondLineMailingAddress": "SUITE 2",
"MailingAddressCityName": "SUNNYVALE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94086-6287",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "408-329-9604",
"MailingAddressFaxNumber": "408-262-1321",
"FirstLinePracticeLocationAddress": "260 S SUNNYVALE AVE",
"SecondLinePracticeLocationAddress": "SUITE 2",
"PracticeLocationAddressCityName": "SUNNYVALE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94086-6287",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "408-329-9604",
"PracticeLocationAddressFaxNumber": "408-262-1321",
"EnumerationDate": "07/16/2007",
"LastUpdateDate": "01/19/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MEKATA",
"AuthorizedOfficialFirstName": "DEANNA",
"AuthorizedOfficialMiddleName": "LINTAG",
"AuthorizedOfficialTitle": "PRESIDENT/DR. OF PHYSICAL THERAPY",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.P.T.",
"AuthorizedOfficialTelephoneNumber": "650-823-2152",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "PT23271",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}