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1285253997 NPI number — CATHERINE JANE MARK DPT, PT

NPI Number: 1285253997
Health Care Provider/Practitioner: CATHERINE JANE MARK DPT, PT

Information about “1285253997” NPI (CATHERINE JANE MARK DPT, PT) exists in 1285253997 in HTML format HTML  |  1285253997 in plain Text format TXT  |  1285253997 in PDF (Portable Document Format) PDF  |  1285253997 in an XML format XML  formats.

NPI Number : 1285253997 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285253997",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARK",
    "FirstName": "CATHERINE",
    "MiddleName": "JANE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT, PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STECK",
    "OtherFirstName": "CATHERINE",
    "OtherMiddleName": "JANE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DPT, PT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "850 TOWNSHIP ROAD 750E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARMAN",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "61425-2042",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "309-572-6281",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1000 W HARLEM AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MONMOUTH",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "61462-1007",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "309-734-1406",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/13/2020",
    "LastUpdateDate": "10/26/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "070.025058",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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