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1194239319 NPI number — KELLY ANN SINGH PT, DPT

NPI Number: 1194239319
Health Care Provider/Practitioner: KELLY ANN SINGH PT, DPT

Information about “1194239319” NPI (KELLY ANN SINGH PT, DPT) exists in 1194239319 in HTML format HTML  |  1194239319 in plain Text format TXT  |  1194239319 in PDF (Portable Document Format) PDF  |  1194239319 in an XML format XML  formats.

NPI Number : 1194239319 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194239319",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SINGH",
    "FirstName": "KELLY",
    "MiddleName": "ANN",
    "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": "115 ELLSWORTH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MINEOLA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11501-1804",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "609-458-3266",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1991 MARCUS AVE STE M115",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW HYDE PARK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11042-3000",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-467-9148",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/27/2017",
    "LastUpdateDate": "04/14/2023",
    "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": "40QA01767800",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2251X0800X",
          "TaxonomyName": "Orthopedic Physical Therapist",
          "LicenseNumber": "048156-01",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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