{
"Npi": {
"NPI": "1851654958",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THERAMAXX THERAPEUTIC SOLUTIONS LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 740",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MORGANFIELD",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "42437-0740",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "270-389-6299",
"MailingAddressFaxNumber": "270-389-1311",
"FirstLinePracticeLocationAddress": "120 PARK ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MORGANFIELD",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "42437-1500",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "270-389-6299",
"PracticeLocationAddressFaxNumber": "270-389-1311",
"EnumerationDate": "06/22/2012",
"LastUpdateDate": "06/01/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MEUTH",
"AuthorizedOfficialFirstName": "JEANNE",
"AuthorizedOfficialMiddleName": "B.",
"AuthorizedOfficialTitle": "PROVIDER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PT, DPT",
"AuthorizedOfficialTelephoneNumber": "270-389-6299",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225100000X",
"TaxonomyName": "Physical Therapist",
"LicenseNumber": "005839",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X 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."
}
}
}
}