{
"Npi": {
"NPI": "1790554467",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "INHER PHYSIQUE",
"ParentOrgTIN": null,
"OrgName": "INHER PHYSIQUE LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1108 AIRPORT BLVD STE C",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PENSACOLA",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32504-8623",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "850-483-0586",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4657 GULF BREEZE PKWY STE A&B",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GULF BREEZE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32563-9166",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "850-483-0586",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/22/2023",
"LastUpdateDate": "12/22/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROPER",
"AuthorizedOfficialFirstName": "JUSTINE",
"AuthorizedOfficialMiddleName": "WILLIAMS",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "850-483-0586",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}