NPI Code Detail JSON Logo

1215134127 NPI number — MALGORZATA EVANCHIK OT

NPI Number: 1215134127
Health Care Provider/Practitioner: MALGORZATA EVANCHIK OT

Information about “1215134127” NPI (MALGORZATA EVANCHIK OT) exists in 1215134127 in HTML format HTML  |  1215134127 in plain Text format TXT  |  1215134127 in PDF (Portable Document Format) PDF  |  1215134127 in an XML format XML  formats.

NPI Number : 1215134127 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215134127",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EVANCHIK",
    "FirstName": "MALGORZATA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MROZ",
    "OtherFirstName": "MALGORZATA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "OT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "32 KENDALL CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORWALK",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06850-2508",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-852-0733",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "698 WEST AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORWALK",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06850-3302",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-850-3400",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/03/2007",
    "LastUpdateDate": "12/07/2022",
    "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": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "002772",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.