{
"Npi": {
"NPI": "1952544694",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RESTORE THERAPY SERVICES",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "245 CAHABA VALLEY PKWY STE 200",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PELHAM",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "35124-2217",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "205-942-6820",
"MailingAddressFaxNumber": "205-942-5884",
"FirstLinePracticeLocationAddress": "245 CAHABA VALLEY PKWY STE 200",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PELHAM",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "35124-2217",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "205-942-6820",
"PracticeLocationAddressFaxNumber": "205-942-5884",
"EnumerationDate": "04/10/2009",
"LastUpdateDate": "04/10/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NEGRE",
"AuthorizedOfficialFirstName": "JAURES",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "PHYSICAL THERAPIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "251-473-8684",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "PTH1695",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}