{
"Npi": {
"NPI": "1639473697",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CAULEY",
"FirstName": "MEGAN",
"MiddleName": "DENISE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "OTR/L",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MALIZIOSO",
"OtherFirstName": "MEGAN",
"OtherMiddleName": "DENISE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "552 CYPRESS DR",
"SecondLineMailingAddress": "UNIT B",
"MailingAddressCityName": "LAGUNA BEACH",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92651-1575",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "415-378-9567",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "552 CYPRESS DR",
"SecondLinePracticeLocationAddress": "UNIT B",
"PracticeLocationAddressCityName": "LAGUNA BEACH",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92651-1575",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "415-378-9567",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/06/2011",
"LastUpdateDate": "01/06/2011",
"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": "225X00000X",
"TaxonomyName": "Occupational Therapist",
"LicenseNumber": "5442",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}