{
"Npi": {
"NPI": "1861548620",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FITZPATRICK PHYSICAL THERAPY LLC",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "185 MORRIS STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MORRISTOWN",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07960",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "917-476-5496",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "649 MORRIS AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SPRINGFIELD",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07081-1518",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-315-3124",
"PracticeLocationAddressFaxNumber": "973-315-3184",
"EnumerationDate": "01/26/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FITZPATRICK",
"AuthorizedOfficialFirstName": "BRIAN",
"AuthorizedOfficialMiddleName": "C",
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
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"AuthorizedOfficialCredential": "D.P.T.",
"AuthorizedOfficialTelephoneNumber": "917-476-5496",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "QA009850",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}