{
"Npi": {
"NPI": "1780646703",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SUTTON",
"FirstName": "TISHA",
"MiddleName": "DAWN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MPT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PSC 9 BOX 5936",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "APO",
"MailingAddressStateName": "AE",
"MailingAddressPostalCode": "09123-0060",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "52ND MDG/SPANGDAHLEM CLINIC",
"SecondLinePracticeLocationAddress": "BUILDING 550",
"PracticeLocationAddressCityName": "APO",
"PracticeLocationAddressStateName": "AE",
"PracticeLocationAddressPostalCode": "09123",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "314-452-8430",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/05/2006",
"LastUpdateDate": "01/17/2014",
"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": "2251X0800X",
"TaxonomyName": "Orthopedic Physical Therapist",
"LicenseNumber": "3549",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}