NPI Code Detail JSON Logo

1487083549 NPI number — SHANDREA JEAN HUBBS DPT

NPI Number: 1487083549
Health Care Provider/Practitioner: SHANDREA JEAN HUBBS DPT

Information about “1487083549” NPI (SHANDREA JEAN HUBBS DPT) exists in 1487083549 in HTML format HTML  |  1487083549 in plain Text format TXT  |  1487083549 in PDF (Portable Document Format) PDF  |  1487083549 in an XML format XML  formats.

NPI Number : 1487083549 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487083549",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HUBBS",
    "FirstName": "SHANDREA",
    "MiddleName": "JEAN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "920 HOUNDSLAKE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AIKEN",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29803-5924",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "971-344-1024",
    "MailingAddressFaxNumber": "803-845-4793",
    "FirstLinePracticeLocationAddress": "920 HOUNDSLAKE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AIKEN",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29803-5924",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "803-716-9723",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/08/2013",
    "LastUpdateDate": "09/14/2021",
    "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": "8984",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2251X0800X",
          "TaxonomyName": "Orthopedic Physical Therapist",
          "LicenseNumber": "60237",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2251X0800X",
          "TaxonomyName": "Orthopedic Physical Therapist",
          "LicenseNumber": "8984",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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