NPI Code Detail JSON Logo

1528322161 NPI number — ANNA E JESS DPT

NPI Number: 1528322161
Health Care Provider/Practitioner: ANNA E JESS DPT

Information about “1528322161” NPI (ANNA E JESS DPT) exists in 1528322161 in HTML format HTML  |  1528322161 in plain Text format TXT  |  1528322161 in PDF (Portable Document Format) PDF  |  1528322161 in an XML format XML  formats.

NPI Number : 1528322161 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528322161",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JESS",
    "FirstName": "ANNA",
    "MiddleName": "E",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WOOD",
    "OtherFirstName": "ANNA",
    "OtherMiddleName": "E",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DPT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1560 N SANBURG TERRACE",
    "SecondLineMailingAddress": "APT 904",
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60610",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-930-9851",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1560 N SANBURG TERRACE",
    "SecondLinePracticeLocationAddress": "APT 904",
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60610",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "630-930-9851",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/28/2012",
    "LastUpdateDate": "06/28/2012",
    "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": "070.017923",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2251P0200X",
          "TaxonomyName": "Pediatric Physical Therapist",
          "LicenseNumber": "070.017923",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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