{
"Npi": {
"NPI": "1265706170",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BISHOP PHYSICAL THERAPY LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1203 US HIGHWAY 98",
"SecondLineMailingAddress": "SUITE 1-C",
"MailingAddressCityName": "DAPHNE",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "36526-4277",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "251-626-7778",
"MailingAddressFaxNumber": "251-626-7780",
"FirstLinePracticeLocationAddress": "1203 US HIGHWAY 98",
"SecondLinePracticeLocationAddress": "SUITE 1-C",
"PracticeLocationAddressCityName": "DAPHNE",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "36526-4277",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "251-626-7778",
"PracticeLocationAddressFaxNumber": "251-626-7780",
"EnumerationDate": "02/24/2012",
"LastUpdateDate": "02/24/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BISHOP",
"AuthorizedOfficialFirstName": "DANIEL",
"AuthorizedOfficialMiddleName": "AARON",
"AuthorizedOfficialTitle": "SOLE OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPT",
"AuthorizedOfficialTelephoneNumber": "251-626-7778",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "39470",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}