{
"Npi": {
"NPI": "1528202686",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CORSO-LOCKHART",
"FirstName": "ALLISON",
"MiddleName": "MICHELLE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "OTD OTR/L",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "147 BOXWOOD DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KINGS PARK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11754-2915",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-658-5946",
"MailingAddressFaxNumber": "631-406-7440",
"FirstLinePracticeLocationAddress": "147 BOXWOOD DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KINGS PARK",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11754-2915",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-658-5946",
"PracticeLocationAddressFaxNumber": "631-406-7440",
"EnumerationDate": "04/20/2009",
"LastUpdateDate": "04/20/2009",
"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": "225X00000X",
"TaxonomyName": "Occupational Therapist",
"LicenseNumber": "011472-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "225XP0200X",
"TaxonomyName": "Pediatric Occupational Therapist",
"LicenseNumber": "011472-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}