{
"Npi": {
"NPI": "1649826413",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WALSH",
"FirstName": "CYNTHIA",
"MiddleName": "HELLSTEIN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "OTR/L, CHT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "50 PATCH POND RD UNIT 12",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CENTER OSSIPEE",
"MailingAddressStateName": "NH",
"MailingAddressPostalCode": "03814-6128",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "860-460-9968",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3073 WHITE MOUNTAIN HWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTH CONWAY",
"PracticeLocationAddressStateName": "NH",
"PracticeLocationAddressPostalCode": "03860-7101",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "603-356-5461",
"PracticeLocationAddressFaxNumber": "603-356-3541",
"EnumerationDate": "08/16/2019",
"LastUpdateDate": "08/16/2019",
"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": "225XH1200X",
"TaxonomyName": "Hand Occupational Therapist",
"LicenseNumber": "2644",
"LicenseNumberStateCode": "NH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}