{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PT MANAGEMENT CORP",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
"OtherFirstName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "9001 15 MILE RD STE C",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STERLING HEIGHTS",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48312-3621",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "586-328-0700",
"MailingAddressFaxNumber": "586-231-6499",
"FirstLinePracticeLocationAddress": "9001 15 MILE RD STE C",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STERLING HEIGHTS",
"PracticeLocationAddressStateName": "MI",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "586-328-0700",
"PracticeLocationAddressFaxNumber": "586-231-6499",
"EnumerationDate": "09/02/2026",
"LastUpdateDate": "09/02/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GORGEES",
"AuthorizedOfficialFirstName": "MARVIN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "248-779-5253",
"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."
}
}
}
}