{
"Npi": {
"NPI": "1538004379",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BRYSON",
"FirstName": "DELAINEY",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PTA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DERRICK",
"OtherFirstName": "DELAINEY",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1610 N CIRQUE LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LIBERTY LAKE",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "99016-5061",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "512-799-8291",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "18915 E APPLEWAY AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SPOKANE VALLEY",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "99016-8857",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "512-799-8291",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/20/2026",
"LastUpdateDate": "04/20/2026",
"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": "225200000X",
"TaxonomyName": "Physical Therapy Assistant",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}