{
"Npi": {
"NPI": "1609016625",
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "BODYALIGN PHYSICAL THERAPY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "331 W 57TH ST",
"SecondLineMailingAddress": "#401",
"MailingAddressCityName": "NEW YORK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10019-3101",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "212-956-0762",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "331 W 57TH ST",
"SecondLinePracticeLocationAddress": "#401",
"PracticeLocationAddressCityName": "NEW YORK",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "212-956-0762",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/03/2009",
"LastUpdateDate": "03/03/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOEFS",
"AuthorizedOfficialFirstName": "JILL",
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"AuthorizedOfficialTitle": "PHYSICAL THERAPIST",
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"AuthorizedOfficialCredential": "MPT",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "024115",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}