{
"Npi": {
"NPI": "1659673796",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TOTAL CARE REHAB PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 100",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GOSHEN",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40026-0100",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "502-552-6100",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2813 N HURSTBOURNE PKWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LOUISVILLE",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "40223-1251",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "502-552-6100",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/22/2010",
"LastUpdateDate": "11/22/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AJMANI",
"AuthorizedOfficialFirstName": "ANJALI",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/PT",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PT",
"AuthorizedOfficialTelephoneNumber": "502-552-6100",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "004785",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}