{
"Npi": {
"NPI": "1679077424",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "I KNEADED THIS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "95 SPRUCE LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CLINTON CORNERS",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12514-2623",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "845-242-4112",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6454 MONTGOMERY ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RHINEBECK",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12572-1360",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "845-337-1266",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/19/2018",
"LastUpdateDate": "03/19/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PALMER",
"AuthorizedOfficialFirstName": "THERESA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MASSAGE THERAPIST",
"AuthorizedOfficialTelephoneNumber": "845-337-1266",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "015353-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}