{
"Npi": {
"NPI": "1457432650",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LEWIN",
"FirstName": "ROSALIE",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CENTER",
"OtherFirstName": "LEWIN",
"OtherMiddleName": "THERAPY",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "4891 INDEPENDENCE STREET",
"SecondLineMailingAddress": "# 240",
"MailingAddressCityName": "WHEAT RIDGE",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80033-6714",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "303-467-0041",
"MailingAddressFaxNumber": "303-467-0251",
"FirstLinePracticeLocationAddress": "4891 INDEPENDENCE ST",
"SecondLinePracticeLocationAddress": "# 240",
"PracticeLocationAddressCityName": "WHEAT RIDGE",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80033-6752",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "303-467-0041",
"PracticeLocationAddressFaxNumber": "303-467-0251",
"EnumerationDate": "10/17/2006",
"LastUpdateDate": "07/08/2009",
"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": "225X00000X",
"TaxonomyName": "Occupational Therapist",
"LicenseNumber": "AA469940",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "225XH1200X",
"TaxonomyName": "Hand Occupational Therapist",
"LicenseNumber": "9611000457",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}