{
"Npi": {
"NPI": "1215476312",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SPECIALIZED ORTHOPEDIC SOLUTIONS INC",
"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": "14431 VENTURA BLVD",
"SecondLineMailingAddress": "SUITE 290",
"MailingAddressCityName": "SHERMAN OAKS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91423-2606",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-280-3147",
"MailingAddressFaxNumber": "323-978-2479",
"FirstLinePracticeLocationAddress": "9259 ETON AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHATSWORTH",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91311-5808",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-280-3147",
"PracticeLocationAddressFaxNumber": "323-978-2479",
"EnumerationDate": "02/22/2017",
"LastUpdateDate": "02/22/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VONDERHAAR",
"AuthorizedOfficialFirstName": "JEFFREY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT/CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "818-280-3147",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}