{
"Npi": {
"NPI": "1144608019",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "EVANS",
"FirstName": "BERNARDINE",
"MiddleName": null,
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "PT,DPT,GCS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SPAULDING",
"OtherFirstName": "BERNARDINE",
"OtherMiddleName": null,
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": "PT",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1701 POPLAR LN NW",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WASHINGTON",
"MailingAddressStateName": "DC",
"MailingAddressPostalCode": "20012-1135",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "202-525-5572",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2250 HICKORY RD STE 240",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PLYMOUTH MEETING",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19462-2225",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "610-834-1122",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/12/2015",
"LastUpdateDate": "05/12/2015",
"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": "2251G0304X",
"TaxonomyName": "Geriatric Physical Therapist",
"LicenseNumber": "PT871083",
"LicenseNumberStateCode": "DC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}