{
"Npi": {
"NPI": "1114194297",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "QUALITY REHAB CARE LLC",
"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": "307 SW 191ST TER",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PEMBROKE PINES",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33029-5448",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-437-3458",
"MailingAddressFaxNumber": "954-437-8242",
"FirstLinePracticeLocationAddress": "2731 EXECUTIVE PARK DR",
"SecondLinePracticeLocationAddress": "SUITE1",
"PracticeLocationAddressCityName": "WESTON",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33331-3657",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-636-9480",
"PracticeLocationAddressFaxNumber": "954-389-9906",
"EnumerationDate": "05/08/2008",
"LastUpdateDate": "08/08/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUNTER",
"AuthorizedOfficialFirstName": "LAURA",
"AuthorizedOfficialMiddleName": "ARLETTE",
"AuthorizedOfficialTitle": "MANAGER/DIRECTOR/OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "BSC, PT",
"AuthorizedOfficialTelephoneNumber": "954-437-3458",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "0009876",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}