{
"Npi": {
"NPI": "1144841859",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "THOMAS",
"FirstName": "PAIGE",
"MiddleName": "ELIZABETH",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PT, DPT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "606 ABBOTT DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MILFORD",
"MailingAddressStateName": "DE",
"MailingAddressPostalCode": "19963-2402",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "302-249-1743",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "15 READS WAY STE 205",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEW CASTLE",
"PracticeLocationAddressStateName": "DE",
"PracticeLocationAddressPostalCode": "19720-1600",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "302-322-2300",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/04/2020",
"LastUpdateDate": "05/04/2020",
"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": "2251P0200X",
"TaxonomyName": "Pediatric Physical Therapist",
"LicenseNumber": "J1-0004045",
"LicenseNumberStateCode": "DE",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}