{
"Npi": {
"NPI": "1437413622",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BEEBE PHYSICAL THERAPY PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 297",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BEEBE",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "72012-0297",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "501-882-2260",
"MailingAddressFaxNumber": "501-882-2369",
"FirstLinePracticeLocationAddress": "710 W DEWITT HENRY DR STE D",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BEEBE",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "72012-2102",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "501-882-2260",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/02/2012",
"LastUpdateDate": "07/02/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LANDRUM",
"AuthorizedOfficialFirstName": "JACOB",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "PT/OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPT",
"AuthorizedOfficialTelephoneNumber": "501-882-2260",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225100000X",
"TaxonomyName": "Physical Therapist",
"LicenseNumber": "2923",
"LicenseNumberStateCode": "AR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}