{
"Npi": {
"NPI": "1699401646",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ANTHONY",
"FirstName": "MIARA",
"MiddleName": "L",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CARR",
"OtherFirstName": "MIARA",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "COTA",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "2410 POPLAR COPSE CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPRING",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77373-2077",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "440-983-7177",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "409 GREENE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WEBSTER",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77598-6701",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "281-332-4738",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/30/2022",
"LastUpdateDate": "07/30/2022",
"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": "224Z00000X",
"TaxonomyName": "Occupational Therapy Assistant",
"LicenseNumber": "216811",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}