NPI Code Detail JSON Logo

1437247731 NPI number — ANDREA JOHNSON DAVIS DPT

NPI Number: 1437247731
Health Care Provider/Practitioner: ANDREA JOHNSON DAVIS DPT

Information about “1437247731” NPI (ANDREA JOHNSON DAVIS DPT) exists in 1437247731 in HTML format HTML  |  1437247731 in plain Text format TXT  |  1437247731 in PDF (Portable Document Format) PDF  |  1437247731 in an XML format XML  formats.

NPI Number : 1437247731 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437247731",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVIS",
    "FirstName": "ANDREA",
    "MiddleName": "JOHNSON",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JOHNSON",
    "OtherFirstName": "ANDREA",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MSPT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "639 STOKES RD",
    "SecondLineMailingAddress": "STE 103",
    "MailingAddressCityName": "MEDFORD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08055-3003",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "609-694-8896",
    "MailingAddressFaxNumber": "609-953-1715",
    "FirstLinePracticeLocationAddress": "320 EVESBORO MEDFORD RD",
    "SecondLinePracticeLocationAddress": "SUITE 310",
    "PracticeLocationAddressCityName": "MARLTON",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08053-5733",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-694-8896",
    "PracticeLocationAddressFaxNumber": "609-953-1715",
    "EnumerationDate": "10/11/2006",
    "LastUpdateDate": "07/07/2020",
    "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": "40QA00883900",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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