NPI Code Detail JSON Logo

1417188327 NPI number — MICHELLE ANNE LAYTON PTA

NPI Number: 1417188327
Health Care Provider/Practitioner: MICHELLE ANNE LAYTON PTA

Information about “1417188327” NPI (MICHELLE ANNE LAYTON PTA) exists in 1417188327 in HTML format HTML  |  1417188327 in plain Text format TXT  |  1417188327 in PDF (Portable Document Format) PDF  |  1417188327 in an XML format XML  formats.

NPI Number : 1417188327 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417188327",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LAYTON",
    "FirstName": "MICHELLE",
    "MiddleName": "ANNE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PTA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7277 HAWKINS VIEW DRIVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT WORTH",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76132",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-423-5611",
    "MailingAddressFaxNumber": "817-423-5577",
    "FirstLinePracticeLocationAddress": "7277 HAWKINS VIEW DRIVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT WORTH",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76132",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-423-5611",
    "PracticeLocationAddressFaxNumber": "817-423-5577",
    "EnumerationDate": "07/28/2009",
    "LastUpdateDate": "03/28/2012",
    "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": "225200000X",
        "TaxonomyName": "Physical Therapy Assistant",
        "LicenseNumber": "2055418",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.