{
"Npi": {
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THERAPY ASSOCIATES INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 7100",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RUIDOSO",
"MailingAddressStateName": "NM",
"MailingAddressPostalCode": "88355-7100",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "575-257-5820",
"MailingAddressFaxNumber": "575-257-9560",
"FirstLinePracticeLocationAddress": "628 SUDDERTH DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RUIDOSO",
"PracticeLocationAddressStateName": "NM",
"PracticeLocationAddressPostalCode": "88345-6204",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "575-257-5820",
"PracticeLocationAddressFaxNumber": "575-257-9560",
"EnumerationDate": "10/04/2006",
"LastUpdateDate": "05/10/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "REGALADO",
"AuthorizedOfficialFirstName": "EDWARD",
"AuthorizedOfficialMiddleName": "PAUL",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "575-257-5820",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225100000X",
"TaxonomyName": "Physical Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}