{
"Npi": {
"NPI": "1588502850",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "QUINTANILLA",
"FirstName": "KARINA",
"MiddleName": "DIANE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PT, DPT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "GUTIERREZ",
"OtherFirstName": "KARINA",
"OtherMiddleName": "DIANE",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "PT, DPT",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "2313 WIND VANE W",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PFLUGERVILLE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78660-2288",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "956-245-5024",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "11020 DESSAU RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AUSTIN",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78754-2053",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "512-873-2244",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/24/2026",
"LastUpdateDate": "03/24/2026",
"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": "2251G0304X",
"TaxonomyName": "Geriatric Physical Therapist",
"LicenseNumber": "1407260",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}