{
"Npi": {
"NPI": "1225227895",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TERI J MICHEL",
"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": "6083 MERRILL ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTH PORT",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34287-2049",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "941-240-6134",
"MailingAddressFaxNumber": "941-240-6134",
"FirstLinePracticeLocationAddress": "6083 MERRILL ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTH PORT",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34287-2049",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "941-240-6134",
"PracticeLocationAddressFaxNumber": "941-240-6134",
"EnumerationDate": "10/19/2007",
"LastUpdateDate": "06/20/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MICHEL",
"AuthorizedOfficialFirstName": "TERI",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "OWNER/THERAPIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMT, CAHE",
"AuthorizedOfficialTelephoneNumber": "941-240-6134",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "MM18627",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}