NPI Code Detail JSON Logo

1346764412 NPI number — HORACE STEEN WOODLAND III PT

NPI Number: 1346764412
Health Care Provider/Practitioner: HORACE STEEN WOODLAND III PT

Information about “1346764412” NPI (HORACE STEEN WOODLAND III PT) exists in 1346764412 in HTML format HTML  |  1346764412 in plain Text format TXT  |  1346764412 in PDF (Portable Document Format) PDF  |  1346764412 in an XML format XML  formats.

NPI Number : 1346764412 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346764412",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WOODLAND",
    "FirstName": "HORACE",
    "MiddleName": "STEEN",
    "NamePrefix": "MR.",
    "NameSuffix": "III",
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1526 BRUSH HOLLOW RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HATFIELD",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19440-2139",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-720-4156",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10423 CENTURION PKWY N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32256-0527",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-854-2090",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/01/2017",
    "LastUpdateDate": "05/10/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "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": "TE011394",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "PT40145",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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