{
"Npi": {
"NPI": "1689711616",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THE PHILADELPHIA HAND CENTER, PC",
"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": "950 PULASKI DR STE 100",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KING OF PRUSSIA",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19406-2802",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "610-768-5940",
"MailingAddressFaxNumber": "610-768-5947",
"FirstLinePracticeLocationAddress": "834 CHESTNUT ST",
"SecondLinePracticeLocationAddress": "SUITE G114",
"PracticeLocationAddressCityName": "PHILADELPHIA",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19107-5127",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "610-768-5940",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/31/2007",
"LastUpdateDate": "04/24/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COONEY",
"AuthorizedOfficialFirstName": "ANDREW",
"AuthorizedOfficialMiddleName": "B",
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CPA",
"AuthorizedOfficialTelephoneNumber": "610-768-5940",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2251H1200X",
"TaxonomyName": "Hand Physical Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"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."
}
}
}
}