{
"Npi": {
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"IsOrgSubpart": "Y",
"ParentOrgLBN": "SPOONER PHYSICAL THERAPY & HAND REHAB,PC",
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"OrgName": "SPOONER PHYSICAL THERAPY & HAND REHAB, PC",
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"FirstLineMailingAddress": "9097 E DESERT COVE DR",
"SecondLineMailingAddress": "SUITE 110",
"MailingAddressCityName": "SCOTTSDALE",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85260-6279",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "480-860-4298",
"MailingAddressFaxNumber": "480-860-0356",
"FirstLinePracticeLocationAddress": "3104 E INDIAN SCHOOL RD",
"SecondLinePracticeLocationAddress": "SUITE 200",
"PracticeLocationAddressCityName": "PHOENIX",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85016-6889",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "602-224-9891",
"PracticeLocationAddressFaxNumber": "602-224-9808",
"EnumerationDate": "08/13/2008",
"LastUpdateDate": "01/05/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SPOONER",
"AuthorizedOfficialFirstName": "TIMOTHY",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "PRESIDENT, PT",
"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": "PT",
"AuthorizedOfficialTelephoneNumber": "480-860-4298",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}