{
"Npi": {
"NPI": "1811927601",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MORGAN-JENKINS",
"FirstName": "ERYL",
"MiddleName": "S",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PT, MHS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MORGAN",
"OtherFirstName": "ERYL",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "PT",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "18000 COVE ST STE 202",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPRING LAKE",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49456-1383",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "616-847-1280",
"MailingAddressFaxNumber": "616-847-1290",
"FirstLinePracticeLocationAddress": "890 WASHINGTON AVE STE 130-A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOLLAND",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "49423-7731",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "616-994-8136",
"PracticeLocationAddressFaxNumber": "616-994-8162",
"EnumerationDate": "07/04/2006",
"LastUpdateDate": "12/10/2024",
"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": "070003927",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "225100000X",
"TaxonomyName": "Physical Therapist",
"LicenseNumber": "5501303544",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}