NPI Code Detail JSON Logo

1407348402 NPI number — SARA VICTORIA WALKER DPT

NPI Number: 1407348402
Health Care Provider/Practitioner: SARA VICTORIA WALKER DPT

Information about “1407348402” NPI (SARA VICTORIA WALKER DPT) exists in 1407348402 in HTML format HTML  |  1407348402 in plain Text format TXT  |  1407348402 in PDF (Portable Document Format) PDF  |  1407348402 in an XML format XML  formats.

NPI Number : 1407348402 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407348402",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WALKER",
    "FirstName": "SARA",
    "MiddleName": "VICTORIA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VANDE RYT",
    "OtherFirstName": "SARA",
    "OtherMiddleName": "VICTORIA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DPT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7560 GARDNER PARK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GAINESVILLE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "20155-3414",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-753-1005",
    "MailingAddressFaxNumber": "703-753-2207",
    "FirstLinePracticeLocationAddress": "7560 GARDNER PARK DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GAINESVILLE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "20155-3414",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-753-1005",
    "PracticeLocationAddressFaxNumber": "703-753-2207",
    "EnumerationDate": "06/05/2018",
    "LastUpdateDate": "06/05/2018",
    "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": "2305211490",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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