{
"Npi": {
"NPI": "1427239771",
"EntityType": "Organization",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KEMPTON AND KEMPTON PHYSICAL THERAPY AND SPORTS REHABILITATION LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "8495 S POWER RD",
"SecondLineMailingAddress": "SUITE 103",
"MailingAddressCityName": "QUEEN CREEK",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85142-6068",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "480-840-3564",
"MailingAddressFaxNumber": "480-840-3565",
"FirstLinePracticeLocationAddress": "8495 S POWER RD STE 103",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "QUEEN CREEK",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85142-6068",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "480-840-3564",
"PracticeLocationAddressFaxNumber": "480-840-3565",
"EnumerationDate": "11/15/2007",
"LastUpdateDate": "04/06/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KEMPTON",
"AuthorizedOfficialFirstName": "BRAD",
"AuthorizedOfficialMiddleName": "JOHN",
"AuthorizedOfficialTitle": "PHYSICAL THERAPIST/OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MSPT",
"AuthorizedOfficialTelephoneNumber": "480-840-3564",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "5494",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}