NPI Code Detail JSON Logo

1942599089 NPI number — CAPITAL CITY THERAPY GROUP, LLC

NPI Number: 1942599089
Health Care Provider/Practitioner: CAPITAL CITY THERAPY GROUP, LLC

Information about “1942599089” NPI (CAPITAL CITY THERAPY GROUP, LLC) exists in 1942599089 in HTML format HTML  |  1942599089 in plain Text format TXT  |  1942599089 in PDF (Portable Document Format) PDF  |  1942599089 in an XML format XML  formats.

NPI Number : 1942599089 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942599089",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CAPITAL CITY THERAPY GROUP, LLC",
    "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": "100 OLD CHEROKEE RD",
    "SecondLineMailingAddress": "SUITE F, BOX 172",
    "MailingAddressCityName": "LEXINGTON",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29072-9316",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "803-467-8596",
    "MailingAddressFaxNumber": "803-356-0468",
    "FirstLinePracticeLocationAddress": "100 OLD CHEROKEE RD",
    "SecondLinePracticeLocationAddress": "SUITE F, BOX 172",
    "PracticeLocationAddressCityName": "LEXINGTON",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29072-9316",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "803-467-8596",
    "PracticeLocationAddressFaxNumber": "803-356-0468",
    "EnumerationDate": "03/29/2011",
    "LastUpdateDate": "03/29/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SPEEGLE",
    "AuthorizedOfficialFirstName": "CHRISTINE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "OT",
    "AuthorizedOfficialTelephoneNumber": "803804791758",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "3537",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "174400000X",
          "TaxonomyName": "Specialist",
          "LicenseNumber": "2606",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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