NPI Code Detail JSON Logo

1962870501 NPI number — SARAH ANN HARRELL DPT

NPI Number: 1962870501
Health Care Provider/Practitioner: SARAH ANN HARRELL DPT

Information about “1962870501” NPI (SARAH ANN HARRELL DPT) exists in 1962870501 in HTML format HTML  |  1962870501 in plain Text format TXT  |  1962870501 in PDF (Portable Document Format) PDF  |  1962870501 in an XML format XML  formats.

NPI Number : 1962870501 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962870501",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARRELL",
    "FirstName": "SARAH",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HEINIG",
    "OtherFirstName": "SARAH",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "100 AUGUSTA RD",
    "SecondLineMailingAddress": "114",
    "MailingAddressCityName": "PANAMA CITY BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32407-0228",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "937-267-2010",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1937 JENKS AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PANAMA CITY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32405-4510",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-769-7686",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/14/2015",
    "LastUpdateDate": "09/14/2015",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "PT 30762",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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