{
"Npi": {
"NPI": "1861972002",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PHYSICAL MEDICINE & REHABILITATION ASSOCIATES OF EAST ALABAMA",
"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": "716 BANBURY ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AUBURN",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "36832-3677",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "718-216-8283",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "267 FOB JAMES DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VALLEY",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "36854-5077",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "718-216-8283",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/17/2018",
"LastUpdateDate": "08/17/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AZIZ",
"AuthorizedOfficialFirstName": "FREDERICK",
"AuthorizedOfficialMiddleName": "MANSUR",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "718-216-8283",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "2081P0301X",
"TaxonomyName": "Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician",
"LicenseNumber": "35113",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208100000X",
"TaxonomyName": "Physical Medicine & Rehabilitation Physician",
"LicenseNumber": "35113",
"LicenseNumberStateCode": "AL",
"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."
},
{
"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."
}
]
}
}
}