{
"Npi": {
"NPI": "1336562297",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MONTOYA",
"FirstName": "SAHRA",
"MiddleName": "AMANDA",
"NamePrefix": "MISS",
"NameSuffix": null,
"Credential": "COTA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MONTOYA",
"OtherFirstName": "SAHRA",
"OtherMiddleName": "AMANDA",
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": "COTA",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "2255 W ORANGE GROVE RD APT 6208",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TUCSON",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85741-3155",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "575-956-8110",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2255 W ORANGE GROVE RD APT 6208",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TUCSON",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85741-3155",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "575-956-8110",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/29/2014",
"LastUpdateDate": "01/29/2014",
"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": "224Z00000X",
"TaxonomyName": "Occupational Therapy Assistant",
"LicenseNumber": "5585",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}