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1316325723 NPI number — SAFE AT HOME PHYSICAL THERAPY PLLC

NPI Number: 1316325723
Health Care Provider/Practitioner: SAFE AT HOME PHYSICAL THERAPY PLLC

Information about “1316325723” NPI (SAFE AT HOME PHYSICAL THERAPY PLLC) exists in 1316325723 in HTML format HTML  |  1316325723 in plain Text format TXT  |  1316325723 in PDF (Portable Document Format) PDF  |  1316325723 in an XML format XML  formats.

NPI Number : 1316325723 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316325723",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SAFE AT HOME PHYSICAL THERAPY PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "308 ELLSWORTH RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PALMYRA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14522-9410",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "315-573-0760",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "308 ELLSWORTH RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALMYRA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14522-9410",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "315-573-0760",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/18/2015",
    "LastUpdateDate": "05/18/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BARCLAY",
    "AuthorizedOfficialFirstName": "ROBIN",
    "AuthorizedOfficialMiddleName": "ELIZABETH ONEILL",
    "AuthorizedOfficialTitle": "PHYSICAL THERAPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "B.S. PT",
    "AuthorizedOfficialTelephoneNumber": "315-573-0760",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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