{
"Npi": {
"NPI": "1861431553",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LAMOND",
"FirstName": "JAMIE",
"MiddleName": "ALEXANDER",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "PT, MPT, OCS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ALEXANDER",
"OtherFirstName": "JAMIE",
"OtherMiddleName": null,
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "PT, MPT, OCS",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "425 GREEN LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PHILADELPHIA",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19128-3305",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-920-9609",
"MailingAddressFaxNumber": "215-508-2829",
"FirstLinePracticeLocationAddress": "425 GREEN LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PHILADELPHIA",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19128-3305",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-920-9609",
"PracticeLocationAddressFaxNumber": "215-508-2829",
"EnumerationDate": "06/06/2006",
"LastUpdateDate": "12/09/2018",
"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-012783-L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}