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1679964506 NPI number — MORGAN E LOPKER PT, DPT

NPI Number: 1679964506
Health Care Provider/Practitioner: MORGAN E LOPKER PT, DPT

Information about “1679964506” NPI (MORGAN E LOPKER PT, DPT) exists in 1679964506 in HTML format HTML  |  1679964506 in plain Text format TXT  |  1679964506 in PDF (Portable Document Format) PDF  |  1679964506 in an XML format XML  formats.

NPI Number : 1679964506 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679964506",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOPKER",
    "FirstName": "MORGAN",
    "MiddleName": "E",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT, DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "647 CARDINAL RIDGE LN UNIT C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SIMI VALLEY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93065-7113",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-377-6344",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "215 W JANSS RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "THOUSAND OAKS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91360-1847",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-370-4514",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/13/2015",
    "LastUpdateDate": "06/01/2022",
    "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": "2970",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "PT292210",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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