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1861258493 NPI number — CHRISTAL S SCOTT PTA

NPI Number: 1861258493
Health Care Provider/Practitioner: CHRISTAL S SCOTT PTA

Information about “1861258493” NPI (CHRISTAL S SCOTT PTA) exists in 1861258493 in HTML format HTML  |  1861258493 in plain Text format TXT  |  1861258493 in PDF (Portable Document Format) PDF  |  1861258493 in an XML format XML  formats.

NPI Number : 1861258493 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861258493",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCOTT",
    "FirstName": "CHRISTAL",
    "MiddleName": "S",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PTA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SMILEY",
    "OtherFirstName": "CHRISTAL",
    "OtherMiddleName": "SHEREE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PTA",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1715 GODELLO DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCKWALL",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75032-0264",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-548-4878",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "720 E RALPH HALL PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCKWALL",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75032-6883",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-548-4878",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/21/2024",
    "LastUpdateDate": "02/22/2024",
    "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": "225200000X",
          "TaxonomyName": "Physical Therapy Assistant",
          "LicenseNumber": "2011027294",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225200000X",
          "TaxonomyName": "Physical Therapy Assistant",
          "LicenseNumber": "CP022405A",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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