NPI Code Detail JSON Logo

1881133155 NPI number — MICHELLE A HAGELSTEIN DPT

NPI Number: 1881133155
Health Care Provider/Practitioner: MICHELLE A HAGELSTEIN DPT

Information about “1881133155” NPI (MICHELLE A HAGELSTEIN DPT) exists in 1881133155 in HTML format HTML  |  1881133155 in plain Text format TXT  |  1881133155 in PDF (Portable Document Format) PDF  |  1881133155 in an XML format XML  formats.

NPI Number : 1881133155 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881133155",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAGELSTEIN",
    "FirstName": "MICHELLE",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GOSSELIN",
    "OtherFirstName": "MICHELLE",
    "OtherMiddleName": "A",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DPT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "790 REMINGTON BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOLINGBROOK",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60440-4909",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "282 CABOT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOLYOKE",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01040",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "413-538-7470",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/19/2017",
    "LastUpdateDate": "04/22/2024",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "22518",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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