{
"Npi": {
"NPI": "1114219045",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WORK THERAPPEUTICS INCORPORATED",
"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": "1143 FAIRWAY ST",
"SecondLineMailingAddress": "SUITE 104",
"MailingAddressCityName": "BOWLING GREEN",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "42103-2452",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "270-781-9202",
"MailingAddressFaxNumber": "270-781-9072",
"FirstLinePracticeLocationAddress": "1143 FAIRWAY ST",
"SecondLinePracticeLocationAddress": "SUITE 104",
"PracticeLocationAddressCityName": "BOWLING GREEN",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "42103-2452",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "270-781-9202",
"PracticeLocationAddressFaxNumber": "270-781-9072",
"EnumerationDate": "05/11/2011",
"LastUpdateDate": "05/11/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HALLING",
"AuthorizedOfficialFirstName": "VIRGINIA",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "PRESIDENT/OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "P.T.",
"AuthorizedOfficialTelephoneNumber": "270-781-9202",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "005238",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}