{
"Npi": {
"NPI": "1285311654",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "COMENZIND",
"FirstName": "HANNAH",
"MiddleName": "RUTH",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "PTA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MOORE",
"OtherFirstName": "HANNAH",
"OtherMiddleName": "RUTH",
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": "PTA",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "3661 LEISURE CREEK CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LEXINGTON",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40517-2902",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "859-457-5852",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "870 CORPORATE DR STE 104",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LEXINGTON",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "40503-5417",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "859-785-1441",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/28/2023",
"LastUpdateDate": "09/10/2025",
"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": "225200000X",
"TaxonomyName": "Physical Therapy Assistant",
"LicenseNumber": "A04271",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}