{
"Npi": {
"NPI": "1205584828",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MAYNESAYRE PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "308 US ROUTE 1 STE E1",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SCARBOROUGH",
"MailingAddressStateName": "ME",
"MailingAddressPostalCode": "04074-7640",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "207-303-3030",
"MailingAddressFaxNumber": "207-303-3033",
"FirstLinePracticeLocationAddress": "308 US ROUTE 1 STE E1",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SCARBOROUGH",
"PracticeLocationAddressStateName": "ME",
"PracticeLocationAddressPostalCode": "04074-7640",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "207-303-3030",
"PracticeLocationAddressFaxNumber": "207-303-3033",
"EnumerationDate": "03/13/2022",
"LastUpdateDate": "07/28/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HAYNER",
"AuthorizedOfficialFirstName": "HILARY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OCCUPATIONAL THERAPIST/CO-OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OTR/L, CHT, CLT",
"AuthorizedOfficialTelephoneNumber": "207-303-3030",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "225XN1300X",
"TaxonomyName": "Neurorehabilitation Occupational Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "225XP0019X",
"TaxonomyName": "Physical Rehabilitation Occupational Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2251H1300X",
"TaxonomyName": "Human Factors Physical Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "225XH1200X",
"TaxonomyName": "Hand Occupational Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": [
{
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
},
{
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
},
{
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
},
{
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
]
}
}
}