{
"Npi": {
"NPI": "1427164110",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MCWILLIAMS GERSBACH",
"FirstName": "LORI",
"MiddleName": "S.",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MOT, OTR/L, CHT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 10641",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIDLAND",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "79702-7641",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "432-935-3479",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3416 W WALL ST",
"SecondLinePracticeLocationAddress": "SUITE 105",
"PracticeLocationAddressCityName": "MIDLAND",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "79701-6710",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "432-789-1055",
"PracticeLocationAddressFaxNumber": "432-689-0907",
"EnumerationDate": "08/22/2006",
"LastUpdateDate": "08/10/2007",
"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": "225XH1200X",
"TaxonomyName": "Hand Occupational Therapist",
"LicenseNumber": "107357",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}