{
"Npi": {
"NPI": "1295483816",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ZILL",
"FirstName": "EMILY",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "OTR/L",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1412 DEXTER DR N",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PORT ORANGE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32129-7468",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "386-290-6817",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1565 SAXON BLVD STE 301",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DELTONA",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32725-5836",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "386-851-0901",
"PracticeLocationAddressFaxNumber": "386-851-2426",
"EnumerationDate": "03/13/2022",
"LastUpdateDate": "08/23/2024",
"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": "225X00000X",
"TaxonomyName": "Occupational Therapist",
"LicenseNumber": "14726",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "225X00000X",
"TaxonomyName": "Occupational Therapist",
"LicenseNumber": "21372",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}