{
"Npi": {
"NPI": "1336456748",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "ATLANTA PROSTHETICS & ORTHOTICS,INC.",
"ParentOrgTIN": null,
"OrgName": "ATLANTA PROSTHETICS & ORTHOTICS THERAPY DIVISION,LLC",
"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": "59 EXECUTIVE PARK S",
"SecondLineMailingAddress": "SUITE 4100",
"MailingAddressCityName": "ATLANTA",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30329-2208",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "404-636-0321",
"MailingAddressFaxNumber": "404-636-8884",
"FirstLinePracticeLocationAddress": "59 EXECUTIVE PARK S",
"SecondLinePracticeLocationAddress": "SUITE 4100",
"PracticeLocationAddressCityName": "ATLANTA",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30329-2208",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "404-636-0321",
"PracticeLocationAddressFaxNumber": "404-636-8884",
"EnumerationDate": "09/07/2010",
"LastUpdateDate": "09/07/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUGHES",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "HAROLD",
"AuthorizedOfficialTitle": "PRESIDENT/OWNER/PROSTHETIST",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CPO",
"AuthorizedOfficialTelephoneNumber": "404-636-0321",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR0400X",
"TaxonomyName": "Rehabilitation Clinic/Center",
"LicenseNumber": "OT000130",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}