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1366980229 NPI number — RACHELLE RAMOS PT, DPT

NPI Number: 1366980229
Health Care Provider/Practitioner: RACHELLE RAMOS PT, DPT

Information about “1366980229” NPI (RACHELLE RAMOS PT, DPT) exists in 1366980229 in HTML format HTML  |  1366980229 in plain Text format TXT  |  1366980229 in PDF (Portable Document Format) PDF  |  1366980229 in an XML format XML  formats.

NPI Number : 1366980229 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366980229",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RAMOS",
    "FirstName": "RACHELLE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT, DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SULIT",
    "OtherFirstName": "RACHELLE",
    "OtherMiddleName": "ANNE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "116 HEARTFORD WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AMERICAN CANYON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94503-4216",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-370-6615",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "171 CADLONI LN",
    "SecondLinePracticeLocationAddress": "G",
    "PracticeLocationAddressCityName": "VALLEJO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94591-8437",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "630-370-6615",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/10/2017",
    "LastUpdateDate": "11/08/2023",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "43576",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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