{
"Npi": {
"NPI": "1881920874",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HUDSON CARE PHYSICAL THERAPY PLLC",
"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": "80 RIVER ST",
"SecondLineMailingAddress": "SUITE 5A",
"MailingAddressCityName": "HOBOKEN",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07030-5626",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "201-683-9453",
"MailingAddressFaxNumber": "201-683-5612",
"FirstLinePracticeLocationAddress": "2 SHERMAN POTTS DR",
"SecondLinePracticeLocationAddress": "SUITE 202",
"PracticeLocationAddressCityName": "GHENT",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12075-3216",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "518-828-9500",
"PracticeLocationAddressFaxNumber": "518-828-9560",
"EnumerationDate": "10/26/2009",
"LastUpdateDate": "10/26/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ENRIQUEZ",
"AuthorizedOfficialFirstName": "REAN JOHN",
"AuthorizedOfficialMiddleName": "DE LEON",
"AuthorizedOfficialTitle": "ORGANIZER/OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PT",
"AuthorizedOfficialTelephoneNumber": "845-309-2594",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "018005",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}