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1417539933 NPI number — REBECCA A WHITE PT, DPT, GCS

NPI Number: 1417539933
Health Care Provider/Practitioner: REBECCA A WHITE PT, DPT, GCS

Information about “1417539933” NPI (REBECCA A WHITE PT, DPT, GCS) exists in 1417539933 in HTML format HTML  |  1417539933 in plain Text format TXT  |  1417539933 in PDF (Portable Document Format) PDF  |  1417539933 in an XML format XML  formats.

NPI Number : 1417539933 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417539933",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WHITE",
    "FirstName": "REBECCA",
    "MiddleName": "A",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PT, DPT, GCS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WILLIAMS",
    "OtherFirstName": "REBECCA",
    "OtherMiddleName": "A",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "19468 W 52ND DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GOLDEN",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80403-2171",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-717-1072",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7390 W EASTMAN PL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKEWOOD",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80227-5039",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-988-2848",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/23/2021",
    "LastUpdateDate": "04/23/2021",
    "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": "2251G0304X",
        "TaxonomyName": "Geriatric Physical Therapist",
        "LicenseNumber": "PTL.0012700",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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