{
"Npi": {
"NPI": "1114199619",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LABRADOR",
"FirstName": "EMILOU",
"MiddleName": "B",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "OT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BAUTISTA",
"OtherFirstName": "EMILOU",
"OtherMiddleName": "B.",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "OT",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1896 PARK MEADOWS DR",
"SecondLineMailingAddress": "LAMPLIGHT INN",
"MailingAddressCityName": "FORT MYERS",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33907-3738",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "239-939-0382",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1896 PARK MEADOWS DRIVE",
"SecondLinePracticeLocationAddress": "LAMPLIGHT INN",
"PracticeLocationAddressCityName": "FORT MYERS",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33907",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "239-939-0382",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/25/2008",
"LastUpdateDate": "05/07/2014",
"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": "225X00000X",
"TaxonomyName": "Occupational Therapist",
"LicenseNumber": "OT 2183",
"LicenseNumberStateCode": "AR",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "225X00000X",
"TaxonomyName": "Occupational Therapist",
"LicenseNumber": "OT 13232",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}