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1619163763 NPI number — ABILITIES PATHWAYS, INC.

NPI Number: 1619163763
Health Care Provider/Practitioner: ABILITIES PATHWAYS, INC.

Information about “1619163763” NPI (ABILITIES PATHWAYS, INC.) exists in 1619163763 in HTML format HTML  |  1619163763 in plain Text format TXT  |  1619163763 in PDF (Portable Document Format) PDF  |  1619163763 in an XML format XML  formats.

NPI Number : 1619163763 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619163763",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ABILITIES PATHWAYS, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "29512 7 MILE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LIVONIA",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48152-1988",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-427-9525",
    "MailingAddressFaxNumber": "248-427-9528",
    "FirstLinePracticeLocationAddress": "29512 7 MILE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LIVONIA",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48152-1988",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-427-9525",
    "PracticeLocationAddressFaxNumber": "248-427-9528",
    "EnumerationDate": "09/22/2007",
    "LastUpdateDate": "04/09/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHELTON",
    "AuthorizedOfficialFirstName": "VERNELL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "347-247-8199",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "5201000319",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "5501009704",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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