{
"Npi": {
"NPI": "1689162018",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KCV PILATES INC",
"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": "31 TECOMA CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LITTLETON",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80127-5732",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "720-987-6674",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "8420 S CONTINENTAL DIVIDE RD STE 200",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LITTLETON",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80127-4251",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "720-987-6674",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/01/2018",
"LastUpdateDate": "05/01/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EVANS",
"AuthorizedOfficialFirstName": "WENDY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/ PHYSICAL THERAPIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MSPT",
"AuthorizedOfficialTelephoneNumber": "720-987-6674",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "6262",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}