{
"Npi": {
"NPI": "1275779605",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FOOT MANAGEMENT INC.",
"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": "7201 FRIENDSHIP RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PITTSVILLE",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21850-2039",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-835-3668",
"MailingAddressFaxNumber": "410-835-8966",
"FirstLinePracticeLocationAddress": "7201 FRIENDSHIP RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PITTSVILLE",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21850-2039",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-835-3668",
"PracticeLocationAddressFaxNumber": "410-835-8966",
"EnumerationDate": "01/07/2009",
"LastUpdateDate": "01/07/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOHR",
"AuthorizedOfficialFirstName": "LUCY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "C. PED",
"AuthorizedOfficialTelephoneNumber": "410-835-3668",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "335E00000X",
"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": "CPED0653",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}