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1528126687 NPI number — ALISHA ELIZABETH SCHROEDER DPT

NPI Number: 1528126687
Health Care Provider/Practitioner: ALISHA ELIZABETH SCHROEDER DPT

Information about “1528126687” NPI (ALISHA ELIZABETH SCHROEDER DPT) exists in 1528126687 in HTML format HTML  |  1528126687 in plain Text format TXT  |  1528126687 in PDF (Portable Document Format) PDF  |  1528126687 in an XML format XML  formats.

NPI Number : 1528126687 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528126687",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHROEDER",
    "FirstName": "ALISHA",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "REES",
    "OtherFirstName": "ALISHA",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MPT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "22116 180TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEWISTOWN",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63452",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "217-430-1631",
    "MailingAddressFaxNumber": "573-288-1223",
    "FirstLinePracticeLocationAddress": "22116 180TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEWISTOWN",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63452",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "217-430-4631",
    "PracticeLocationAddressFaxNumber": "573-288-1223",
    "EnumerationDate": "12/04/2006",
    "LastUpdateDate": "10/25/2017",
    "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": "2006000804",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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