{
"Npi": {
"NPI": "1851117097",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LHM PHYSICAL THERAPY INSTITUTE 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": "4750 LINDLE RD STE 100",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HARRISBURG",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17111-2428",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "717-803-3342",
"MailingAddressFaxNumber": "717-974-8743",
"FirstLinePracticeLocationAddress": "295 S 4TH ST STE 2",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HUNTINGDON",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "16652-1271",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "814-374-5330",
"PracticeLocationAddressFaxNumber": "814-201-3283",
"EnumerationDate": "12/03/2024",
"LastUpdateDate": "12/03/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCKIM",
"AuthorizedOfficialFirstName": "GERALD",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CFO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "717-877-8469",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225100000X",
"TaxonomyName": "Physical Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}