{
"Npi": {
"NPI": "1235380908",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ONSITE PHYSICAL THERAPY SERVICES, 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": "21125 YACHT CLUB DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AVENTURA",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33180-4024",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-936-1170",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "21125 YACHT CLUB DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AVENTURA",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33180-4024",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-936-1170",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/30/2008",
"LastUpdateDate": "09/30/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GROSS-FARBER",
"AuthorizedOfficialFirstName": "LISA",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "OWNER/PRESIDENT",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PT",
"AuthorizedOfficialTelephoneNumber": "954-226-9665",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "PT22940",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}