NPI Code Detail JSON Logo

1114119112 NPI number — PATRICIA MARIE PAURIS M.S., A.T.C., CPT

NPI Number: 1114119112
Health Care Provider/Practitioner: PATRICIA MARIE PAURIS M.S., A.T.C., CPT

Information about “1114119112” NPI (PATRICIA MARIE PAURIS M.S., A.T.C., CPT) exists in 1114119112 in HTML format HTML  |  1114119112 in plain Text format TXT  |  1114119112 in PDF (Portable Document Format) PDF  |  1114119112 in an XML format XML  formats.

NPI Number : 1114119112 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114119112",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PAURIS",
    "FirstName": "PATRICIA",
    "MiddleName": "MARIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.S., A.T.C., CPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "115 LINCOLN ST",
    "SecondLineMailingAddress": "OUTPATIENT PHYSICAL THERAPY",
    "MailingAddressCityName": "FRAMINGHAM",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01702-6358",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "508-383-1070",
    "MailingAddressFaxNumber": "508-383-1075",
    "FirstLinePracticeLocationAddress": "529 PROVIDENCE HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DEDHAM",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02026-6807",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "774-360-1900",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/14/2007",
    "LastUpdateDate": "01/18/2012",
    "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": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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