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1447111562 NPI number — WILLIAM SPENCER REESE PT, DPT

NPI Number: 1447111562
Health Care Provider/Practitioner: WILLIAM SPENCER REESE PT, DPT

Information about “1447111562” NPI (WILLIAM SPENCER REESE PT, DPT) exists in 1447111562 in HTML format HTML  |  1447111562 in plain Text format TXT  |  1447111562 in PDF (Portable Document Format) PDF  |  1447111562 in an XML format XML  formats.

NPI Number : 1447111562 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447111562",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REESE",
    "FirstName": "WILLIAM",
    "MiddleName": "SPENCER",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT, DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "102 MADISON AVE FL 8",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10016-7584",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "212-759-2282",
    "MailingAddressFaxNumber": "212-379-2123",
    "FirstLinePracticeLocationAddress": "26 E 22ND ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10010-6107",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "646-847-1684",
    "PracticeLocationAddressFaxNumber": "646-805-1083",
    "EnumerationDate": "11/19/2025",
    "LastUpdateDate": "11/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "055367",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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