{
"Npi": {
"NPI": "1699090548",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HORIZONS OCCUPATIONAL THERAPY PLLC",
"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": "546 VETERAN HILL RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HORSEHEADS",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14845-7265",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "607-857-4909",
"MailingAddressFaxNumber": "607-796-5992",
"FirstLinePracticeLocationAddress": "546 VETERAN HILL RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HORSEHEADS",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "14845-7265",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "607-857-4909",
"PracticeLocationAddressFaxNumber": "607-796-5992",
"EnumerationDate": "04/05/2010",
"LastUpdateDate": "07/23/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GARDNER",
"AuthorizedOfficialFirstName": "SHAWN",
"AuthorizedOfficialMiddleName": "A.",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OTR/L",
"AuthorizedOfficialTelephoneNumber": "607-857-4909",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "007064-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}