{
"Npi": {
"NPI": "1952664922",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VERONICAS PHYSICAL THERAPY SERVICES, PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "138 N OLD EL SAUZ RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RIO GRANDE CITY",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78582-3902",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5346 E US HIGHWAY 83",
"SecondLinePracticeLocationAddress": "UNIT 2 BUILDING A",
"PracticeLocationAddressCityName": "RIO GRANDE CITY",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78582-9471",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "956-393-0233",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/24/2012",
"LastUpdateDate": "07/27/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BARRERA",
"AuthorizedOfficialFirstName": "VERONICA",
"AuthorizedOfficialMiddleName": "PENA",
"AuthorizedOfficialTitle": "PHYSICAL THERAPIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPT",
"AuthorizedOfficialTelephoneNumber": "956-393-0233",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "1206976",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}