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1215409768 NPI number — JILL MARIE SCHULTZ MSPT

NPI Number: 1215409768
Health Care Provider/Practitioner: JILL MARIE SCHULTZ MSPT

Information about “1215409768” NPI (JILL MARIE SCHULTZ MSPT) exists in 1215409768 in HTML format HTML  |  1215409768 in plain Text format TXT  |  1215409768 in PDF (Portable Document Format) PDF  |  1215409768 in an XML format XML  formats.

NPI Number : 1215409768 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215409768",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHULTZ",
    "FirstName": "JILL",
    "MiddleName": "MARIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MSPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7599 BERKSHIRE PINES DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NAPLES",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34104-9445",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "239-248-5610",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8000 ARLINGTON CIR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NAPLES",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34113-3205",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "239-307-3061",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/21/2018",
    "LastUpdateDate": "12/21/2018",
    "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": "11403",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "PT11403",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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