{
"Npi": {
"NPI": "1649870908",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KAFKA",
"FirstName": "INBAL",
"MiddleName": "ORTAL",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PT, DPT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SARIG",
"OtherFirstName": "INBAL",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "PT, DPT",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "14 PATRICIA LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MILL VALLEY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94941-1405",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "510-418-8963",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3401 TARAVAL ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAN FRANCISCO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94116-2050",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "415-682-9902",
"PracticeLocationAddressFaxNumber": "818-921-4129",
"EnumerationDate": "10/27/2020",
"LastUpdateDate": "09/18/2025",
"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": "225100000X",
"TaxonomyName": "Physical Therapist",
"LicenseNumber": "298809",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}