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1811371057 NPI number — JOSEPH VINCENT MILLER P.T.A

NPI Number: 1811371057
Health Care Provider/Practitioner: JOSEPH VINCENT MILLER P.T.A

Information about “1811371057” NPI (JOSEPH VINCENT MILLER P.T.A) exists in 1811371057 in HTML format HTML  |  1811371057 in plain Text format TXT  |  1811371057 in PDF (Portable Document Format) PDF  |  1811371057 in an XML format XML  formats.

NPI Number : 1811371057 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811371057",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MILLER",
    "FirstName": "JOSEPH",
    "MiddleName": "VINCENT",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "P.T.A",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MILLER",
    "OtherFirstName": "JOSEPH",
    "OtherMiddleName": "VINCENT",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "P.T.A",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "7461",
    "SecondLineMailingAddress": "KITTY HAWK DR. APT 13101",
    "MailingAddressCityName": "CONVERSE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78109-5277",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-812-0422",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7461 KITTY HAWK APT 13101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CONVERSE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78109-1699",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-812-0422",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/17/2015",
    "LastUpdateDate": "07/28/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225200000X",
          "TaxonomyName": "Physical Therapy Assistant",
          "LicenseNumber": "007612",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225200000X",
          "TaxonomyName": "Physical Therapy Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225200000X",
          "TaxonomyName": "Physical Therapy Assistant",
          "LicenseNumber": "2015023348",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225200000X",
          "TaxonomyName": "Physical Therapy Assistant",
          "LicenseNumber": "14-02840",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225200000X",
          "TaxonomyName": "Physical Therapy Assistant",
          "LicenseNumber": "2161949",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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