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1659124477 NPI number — TERRI LYNN ROGERS

NPI Number: 1659124477
Health Care Provider/Practitioner: TERRI LYNN ROGERS

Information about “1659124477” NPI (TERRI LYNN ROGERS) exists in 1659124477 in HTML format HTML  |  1659124477 in plain Text format TXT  |  1659124477 in PDF (Portable Document Format) PDF  |  1659124477 in an XML format XML  formats.

NPI Number : 1659124477 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659124477",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROGERS",
    "FirstName": "TERRI",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HAMBRICK",
    "OtherFirstName": "TERRI",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5893 FM 1567",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LONE OAK",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75453-6207",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-907-0425",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4215 JOE RAMSEY BLVD E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENVILLE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75401-7852",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "903-408-1886",
    "PracticeLocationAddressFaxNumber": "903-453-6727",
    "EnumerationDate": "04/10/2024",
    "LastUpdateDate": "04/10/2024",
    "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": "1072957",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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