{
"Npi": {
"NPI": "1780133314",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "COLE",
"FirstName": "ARIEL",
"MiddleName": "BREA- ANNA",
"NamePrefix": "MISS",
"NameSuffix": null,
"Credential": "DPT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HANSEN",
"OtherFirstName": "ARIEL",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "10111 CEDAR LAKE RD",
"SecondLineMailingAddress": "318",
"MailingAddressCityName": "MINNETONKA",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55305-5400",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "507-236-8987",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "15111 TWELVE OAKS CENTER DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MINNETONKA",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55305-5201",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "952-993-4603",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/23/2016",
"LastUpdateDate": "10/29/2019",
"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": "10319",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}