{
"Npi": {
"NPI": "1821121070",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "JEW",
"FirstName": "CYNTHIA",
"MiddleName": "LOUISE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "BS, BS, RPT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ONG",
"OtherFirstName": "CYNTHIA",
"OtherMiddleName": "LOUISE",
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": "BS,BS,RPT",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2747-THIRTY-SEVENTH AVENUE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN FRANCISCO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94116",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "415-759-0843",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "728 PACIFIC AVENUE",
"SecondLinePracticeLocationAddress": "SUITE 301",
"PracticeLocationAddressCityName": "SAN FRANCISCO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94133",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "415-433-3318",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/14/2007",
"LastUpdateDate": "07/08/2007",
"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": "PT 10958",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}