{
"Npi": {
"NPI": "1912572637",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MARLEAU",
"FirstName": "NICHOLE",
"MiddleName": "ASHLEY",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "DPT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "8382 N WAYNE DR STE 204",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAYDEN",
"MailingAddressStateName": "ID",
"MailingAddressPostalCode": "83835-6028",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "612-499-0001",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "8382 N WAYNE DR STE 204",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HAYDEN",
"PracticeLocationAddressStateName": "ID",
"PracticeLocationAddressPostalCode": "83835-6028",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "87-199-0712",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/25/2021",
"LastUpdateDate": "03/15/2023",
"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": "7359",
"LicenseNumberStateCode": "ID",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}