{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WHOLEBODY MFR LMT INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
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"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "56 WASHINGTON MEWS",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PORT CHESTER",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10573-3948",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-240-2714",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "168 IRVING AVE STE 203-G",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PORT CHESTER",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10573-4159",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "203-240-2714",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/12/2025",
"LastUpdateDate": "03/12/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ATKINS-PILLA",
"AuthorizedOfficialFirstName": "ERICA",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "OWNER/THERAPIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMT",
"AuthorizedOfficialTelephoneNumber": "203-240-2714",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}