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1386918753 NPI number — ASHLEY LYNN PEARSON PHYSICAL THERAPIST

NPI Number: 1386918753
Health Care Provider/Practitioner: ASHLEY LYNN PEARSON PHYSICAL THERAPIST

Information about “1386918753” NPI (ASHLEY LYNN PEARSON PHYSICAL THERAPIST) exists in 1386918753 in HTML format HTML  |  1386918753 in plain Text format TXT  |  1386918753 in PDF (Portable Document Format) PDF  |  1386918753 in an XML format XML  formats.

NPI Number : 1386918753 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386918753",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PEARSON",
    "FirstName": "ASHLEY",
    "MiddleName": "LYNN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PHYSICAL THERAPIST",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KING",
    "OtherFirstName": "ASHLEY",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "PHYSICAL THERAPIST",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 237",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEATHERFORD",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76086-0237",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-594-9200",
    "MailingAddressFaxNumber": "817-594-9202",
    "FirstLinePracticeLocationAddress": "879 EUREKA ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEATHERFORD",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76086-5807",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-594-9200",
    "PracticeLocationAddressFaxNumber": "817-594-9202",
    "EnumerationDate": "03/02/2012",
    "LastUpdateDate": "11/13/2020",
    "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": "1196108",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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