NPI Code Detail JSON Logo

1669354098 NPI number — JAMIE LEE ISRAEL PT

NPI Number: 1669354098
Health Care Provider/Practitioner: JAMIE LEE ISRAEL PT

Information about “1669354098” NPI (JAMIE LEE ISRAEL PT) exists in 1669354098 in HTML format HTML  |  1669354098 in plain Text format TXT  |  1669354098 in PDF (Portable Document Format) PDF  |  1669354098 in an XML format XML  formats.

NPI Number : 1669354098 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669354098",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ISRAEL",
    "FirstName": "JAMIE",
    "MiddleName": "LEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "321 MUSKINGUM DR APT B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MARIETTA",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45750-1490",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-254-3558",
    "MailingAddressFaxNumber": "954-254-3558",
    "FirstLinePracticeLocationAddress": "1804 WASHINGTON BLVD STE E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BELPRE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45714-3501",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "740-423-3084",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/25/2025",
    "LastUpdateDate": "07/25/2025",
    "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": "004082",
          "LicenseNumberStateCode": "WV",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "013517",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.