{
"Npi": {
"NPI": "1366656282",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PHYSICAL THERAPY 4 U INC",
"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": "PO BOX 1174",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ENGLEWOOD",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34295-1174",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "941-697-7737",
"MailingAddressFaxNumber": "941-697-1688",
"FirstLinePracticeLocationAddress": "2961 PLACIDA RD",
"SecondLinePracticeLocationAddress": "STE 11",
"PracticeLocationAddressCityName": "ENGLEWOOD",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34224-8525",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "941-697-7737",
"PracticeLocationAddressFaxNumber": "941-697-1688",
"EnumerationDate": "05/09/2007",
"LastUpdateDate": "06/21/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOTTENFIELD",
"AuthorizedOfficialFirstName": "TODD",
"AuthorizedOfficialMiddleName": "DOUGLAS",
"AuthorizedOfficialTitle": "PRESIDENT AND THERAPIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPT",
"AuthorizedOfficialTelephoneNumber": "941-697-7737",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "FL11482",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}