{
"Npi": {
"NPI": "1710312145",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SHEEHEY",
"FirstName": "RHEANNE",
"MiddleName": "REYES",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "DPT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "123 S FIGUEROA ST",
"SecondLineMailingAddress": "APT. #1203",
"MailingAddressCityName": "LOS ANGELES",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90012-2469",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "925-207-3897",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1000 S FREMONT AVE",
"SecondLinePracticeLocationAddress": "UNIT 27, SUITE 101000",
"PracticeLocationAddressCityName": "ALHAMBRA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91803-8800",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "626-289-7472",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/04/2013",
"LastUpdateDate": "09/04/2013",
"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": "2251P0200X",
"TaxonomyName": "Pediatric Physical Therapist",
"LicenseNumber": "40235",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}