NPI Code Detail JSON Logo

1134600224 NPI number — LEENA NATHAN DPT

NPI Number: 1134600224
Health Care Provider/Practitioner: LEENA NATHAN DPT

Information about “1134600224” NPI (LEENA NATHAN DPT) exists in 1134600224 in HTML format HTML  |  1134600224 in plain Text format TXT  |  1134600224 in PDF (Portable Document Format) PDF  |  1134600224 in an XML format XML  formats.

NPI Number : 1134600224 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134600224",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NATHAN",
    "FirstName": "LEENA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEENA NATHAN",
    "OtherFirstName": "FNU",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2122 YORK RD STE 300",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAK BROOK",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60523-1925",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-575-6200",
    "MailingAddressFaxNumber": "410-648-4878",
    "FirstLinePracticeLocationAddress": "13019 WORLDGATE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HERNDON",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "20170-4374",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-870-2450",
    "PracticeLocationAddressFaxNumber": "703-870-2451",
    "EnumerationDate": "08/27/2018",
    "LastUpdateDate": "02/03/2025",
    "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": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "26702",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "2305216776",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.