{
"Npi": {
"NPI": "1497901011",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "THORNOCK",
"FirstName": "STEPHEN",
"MiddleName": "PRESTON",
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "PTA, LMT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3461 E 7590 S",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COTTONWOOD HEIGHTS",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84121-5439",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-898-8075",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "219 E 12300 S",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DRAPER",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84020-6970",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "801-495-4280",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/14/2008",
"LastUpdateDate": "08/14/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "5253053-4701",
"LicenseNumberStateCode": "UT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}