{
"Npi": {
"NPI": "1932232691",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SAVAGE",
"FirstName": "MICHELLE",
"MiddleName": "LEANN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "CPTA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SAVAGE",
"OtherFirstName": "MICHELLE",
"OtherMiddleName": "LEANN",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "CPTA",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "214 N PARK DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BELTON",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "64012-1960",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "816-331-6701",
"MailingAddressFaxNumber": "816-331-6701",
"FirstLinePracticeLocationAddress": "214 N. PARK DRIVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BELTON",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "64012-1960",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "816-331-6701",
"PracticeLocationAddressFaxNumber": "816-331-6701",
"EnumerationDate": "03/13/2007",
"LastUpdateDate": "07/08/2007",
"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": "225200000X",
"TaxonomyName": "Physical Therapy Assistant",
"LicenseNumber": "PT116595",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}