{
"Npi": {
"NPI": "1740490184",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PIERA-AVILA",
"FirstName": "LINDA",
"MiddleName": "MARY",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "P.T.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PIERA-AVILA",
"OtherFirstName": "LINDA",
"OtherMiddleName": "MARY",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1424 12TH ST",
"SecondLineMailingAddress": "APT. E",
"MailingAddressCityName": "SANTA MONICA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90401-3048",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-395-4044",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2317 BROADWAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SANTA MONICA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90404-2915",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-829-2225",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/23/2007",
"LastUpdateDate": "07/08/2007",
"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": "225100000X",
"TaxonomyName": "Physical Therapist",
"LicenseNumber": "PT 24096",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}