{
"Npi": {
"NPI": "1932391299",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "ELITE TRAINING SYSTEMS,LLC",
"ParentOrgTIN": null,
"OrgName": "CATZ PHYSICAL THERAPY",
"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": "825 EAST WARNER ROAD SUITE C-100",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHANDLER",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85225",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "480-722-0300",
"MailingAddressFaxNumber": "480-722-0302",
"FirstLinePracticeLocationAddress": "825 E WARNER RD STE C-100",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHANDLER",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85225-0994",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "480-722-0300",
"PracticeLocationAddressFaxNumber": "480-722-0302",
"EnumerationDate": "08/10/2007",
"LastUpdateDate": "06/13/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "IDKIFF",
"AuthorizedOfficialFirstName": "MATTHEW",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPT",
"AuthorizedOfficialTelephoneNumber": "480-722-0300",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "5882",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}