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1780962241 NPI number — ERIN MASTERS P.T.

NPI Number: 1780962241
Health Care Provider/Practitioner: ERIN MASTERS P.T.

Information about “1780962241” NPI (ERIN MASTERS P.T.) exists in 1780962241 in HTML format HTML  |  1780962241 in plain Text format TXT  |  1780962241 in PDF (Portable Document Format) PDF  |  1780962241 in an XML format XML  formats.

NPI Number : 1780962241 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780962241",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MASTERS",
    "FirstName": "ERIN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "P.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MACDONNA",
    "OtherFirstName": "ERIN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "P.T.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1140 PERIMETER PARK DRIVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COOKEVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "38501",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "931-526-2345",
    "MailingAddressFaxNumber": "931-528-1460",
    "FirstLinePracticeLocationAddress": "1140 PERIMETER PARK DRIVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COOKEVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "38501",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "931-526-2345",
    "PracticeLocationAddressFaxNumber": "931-528-1460",
    "EnumerationDate": "08/01/2011",
    "LastUpdateDate": "12/10/2015",
    "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": "070.018655",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "9862",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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