{
"Npi": {
"NPI": "1912232877",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NEW MOTION PHYSICAL THERAPY, INC.",
"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": "684 ALAMO PINTADO RD",
"SecondLineMailingAddress": "SUITE E",
"MailingAddressCityName": "SOLVANG",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93463-2265",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "805-693-4311",
"MailingAddressFaxNumber": "805-693-4423",
"FirstLinePracticeLocationAddress": "120 HOLIDAY CT STE 4",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FRANKLIN",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37067-1302",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "805-245-8730",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/11/2009",
"LastUpdateDate": "08/15/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SWOLGAARD",
"AuthorizedOfficialFirstName": "SCOTT",
"AuthorizedOfficialMiddleName": "VERNON",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PT, DPT",
"AuthorizedOfficialTelephoneNumber": "805-245-8730",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "PT29923",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}