NPI Code Detail JSON Logo

1609469196 NPI number — SACHA F ANASTASIO COTA

NPI Number: 1609469196
Health Care Provider/Practitioner: SACHA F ANASTASIO COTA

Information about “1609469196” NPI (SACHA F ANASTASIO COTA) exists in 1609469196 in HTML format HTML  |  1609469196 in plain Text format TXT  |  1609469196 in PDF (Portable Document Format) PDF  |  1609469196 in an XML format XML  formats.

NPI Number : 1609469196 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609469196",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANASTASIO",
    "FirstName": "SACHA",
    "MiddleName": "F",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "COTA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "121 KEYSER RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MEREDITH",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03253-6312",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "781-589-4151",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "435 UNION AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LACONIA",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03246-2814",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-779-9066",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/16/2021",
    "LastUpdateDate": "02/16/2021",
    "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": "224Z00000X",
        "TaxonomyName": "Occupational Therapy Assistant",
        "LicenseNumber": "0850",
        "LicenseNumberStateCode": "NH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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