NPI Code Detail JSON Logo

1477911220 NPI number — REBECCAH LEEANN PHIPPS PT

NPI Number: 1477911220
Health Care Provider/Practitioner: REBECCAH LEEANN PHIPPS PT

Information about “1477911220” NPI (REBECCAH LEEANN PHIPPS PT) exists in 1477911220 in HTML format HTML  |  1477911220 in plain Text format TXT  |  1477911220 in PDF (Portable Document Format) PDF  |  1477911220 in an XML format XML  formats.

NPI Number : 1477911220 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477911220",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PHIPPS",
    "FirstName": "REBECCAH",
    "MiddleName": "LEEANN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WESTOL",
    "OtherFirstName": "REBECCAH",
    "OtherMiddleName": "LEEANN",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2021 SE 38TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OCALA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34480-8836",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1755 WITTINGTON PL STE 175",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75234",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "866-221-5405",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/08/2016",
    "LastUpdateDate": "05/22/2018",
    "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": "0013538",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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