{
"Npi": {
"NPI": "1780600825",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THE SPAULDING REHABILITATION HOSPITAL CORPORATION",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "300 1ST AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHARLESTOWN",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02129-3109",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "857-282-0421",
"MailingAddressFaxNumber": "617-952-5943",
"FirstLinePracticeLocationAddress": "300 1ST AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHARLESTOWN",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "02129-3109",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "617-952-5000",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/14/2006",
"LastUpdateDate": "02/20/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DESANTIS",
"AuthorizedOfficialFirstName": "SAMANTHA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR FINANCE",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "617-952-5000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "283X00000X",
"TaxonomyName": "Rehabilitation Hospital",
"LicenseNumber": "2321",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}