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1679244123 NPI number — LARRY REED PHYSICAL THERAPY, LLC

NPI Number: 1679244123
Health Care Provider/Practitioner: LARRY REED PHYSICAL THERAPY, LLC

Information about “1679244123” NPI (LARRY REED PHYSICAL THERAPY, LLC) exists in 1679244123 in HTML format HTML  |  1679244123 in plain Text format TXT  |  1679244123 in PDF (Portable Document Format) PDF  |  1679244123 in an XML format XML  formats.

NPI Number : 1679244123 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679244123",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LARRY REED PHYSICAL THERAPY, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4923 OWL HOLE GAP RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RUTLEDGE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37861-4447",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "865-934-8581",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1751 W MORRIS BLVD STE 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MORRISTOWN",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37813-3870",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-839-0423",
    "PracticeLocationAddressFaxNumber": "423-839-0423",
    "EnumerationDate": "09/24/2021",
    "LastUpdateDate": "02/05/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "REED",
    "AuthorizedOfficialFirstName": "LARRY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MEMBER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "P.T.",
    "AuthorizedOfficialTelephoneNumber": "865-934-8581",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2000X",
        "TaxonomyName": "Physical Therapy Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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