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1649250143 NPI number — RICHARD JOHN ROTHER JR. P.T.

NPI Number: 1649250143
Health Care Provider/Practitioner: RICHARD JOHN ROTHER JR. P.T.

Information about “1649250143” NPI (RICHARD JOHN ROTHER JR. P.T.) exists in 1649250143 in HTML format HTML  |  1649250143 in plain Text format TXT  |  1649250143 in PDF (Portable Document Format) PDF  |  1649250143 in an XML format XML  formats.

NPI Number : 1649250143 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649250143",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROTHER",
    "FirstName": "RICHARD",
    "MiddleName": "JOHN",
    "NamePrefix": "MR.",
    "NameSuffix": "JR.",
    "Credential": "P.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROTHER",
    "OtherFirstName": "RICK",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "P.T.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "411 E BROADWAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLUMBIA",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "65201-4437",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "573-886-7411",
    "MailingAddressFaxNumber": "573-443-7246",
    "FirstLinePracticeLocationAddress": "411 E BROADWAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBIA",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "65201-4437",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "573-886-7411",
    "PracticeLocationAddressFaxNumber": "573-443-7246",
    "EnumerationDate": "01/19/2006",
    "LastUpdateDate": "12/13/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "00722",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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