NPI Code Detail JSON Logo

1770627465 NPI number — SUZANNE LASSETER PT

NPI Number: 1770627465
Health Care Provider/Practitioner: SUZANNE LASSETER PT

Information about “1770627465” NPI (SUZANNE LASSETER PT) exists in 1770627465 in HTML format HTML  |  1770627465 in plain Text format TXT  |  1770627465 in PDF (Portable Document Format) PDF  |  1770627465 in an XML format XML  formats.

NPI Number : 1770627465 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770627465",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LASSETER",
    "FirstName": "SUZANNE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 708",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ARDSLEY",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10502-0708",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "914-693-7636",
    "MailingAddressFaxNumber": "914-886-0027",
    "FirstLinePracticeLocationAddress": "19 BRADHURST AVE 3800S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HAWTHORNE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10532-2140",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "914-693-7636",
    "PracticeLocationAddressFaxNumber": "914-693-5994",
    "EnumerationDate": "02/16/2007",
    "LastUpdateDate": "08/26/2015",
    "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": "017927",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.