{
"Npi": {
"NPI": "1477741643",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CURTIS",
"FirstName": "SUSAN",
"MiddleName": "DIANE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MSPT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "55432 COLBY ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DOWAGIAC",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49047-8701",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "269-782-7828",
"MailingAddressFaxNumber": "269-783-3400",
"FirstLinePracticeLocationAddress": "55432 COLBY ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DOWAGIAC",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "49047-8701",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "269-782-7828",
"PracticeLocationAddressFaxNumber": "269-783-3400",
"EnumerationDate": "10/12/2007",
"LastUpdateDate": "09/13/2012",
"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": "05004692A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "225100000X",
"TaxonomyName": "Physical Therapist",
"LicenseNumber": "5501005019",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}