{
"Npi": {
"NPI": "1396081691",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HOPKINS",
"FirstName": "KRYSTA",
"MiddleName": "MARIE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "DPT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MORACZEWSKI",
"OtherFirstName": "KRYSTA",
"OtherMiddleName": "M",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "DPT",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "833 CHESTNUT ST",
"SecondLineMailingAddress": "SUITE 1402",
"MailingAddressCityName": "PHILADELPHIA",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19107-4414",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "800-321-9999",
"MailingAddressFaxNumber": "267-339-3761",
"FirstLinePracticeLocationAddress": "327 GREENTREE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SEWELL",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08080-9229",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "856-286-4224",
"PracticeLocationAddressFaxNumber": "856-286-4269",
"EnumerationDate": "12/14/2012",
"LastUpdateDate": "12/08/2015",
"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": "40QA01475100",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}