{
"Npi": {
"NPI": "1093857831",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MCGUIRK",
"FirstName": "MICHAEL",
"MiddleName": "V.",
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "PTA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1011 WOODBOURNE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW ALBANY",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47150-2354",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "812-944-1530",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9407 HIGHWAY 403",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHARLESTOWN",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "47111-8946",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "812-256-0528",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/12/2007",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "225200000X",
"TaxonomyName": "Physical Therapy Assistant",
"LicenseNumber": "06002363A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "225200000X",
"TaxonomyName": "Physical Therapy Assistant",
"LicenseNumber": "A01462",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}