1184633703 NPI number — MICHAEL FELIX BARILE D.C.,P.T.

NPI Number: 1184633703
Health Care Provider/Practitioner: MICHAEL FELIX BARILE D.C.,P.T.

NPI Number : 1184633703 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184633703",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BARILE",
    "FirstName": "MICHAEL",
    "MiddleName": "FELIX",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.C.,P.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 350034",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TOLEDO",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43635-0034",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "260-420-4400",
    "MailingAddressFaxNumber": "260-420-4448",
    "FirstLinePracticeLocationAddress": "3030 LAKE AVE",
    "SecondLinePracticeLocationAddress": "26",
    "PracticeLocationAddressCityName": "FORT WAYNE",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46805-5428",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "260-420-4400",
    "PracticeLocationAddressFaxNumber": "260-420-4448",
    "EnumerationDate": "08/05/2006",
    "LastUpdateDate": "11/16/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "08001260A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "05005672A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}