{
"Npi": {
"NPI": "1972051308",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "OVIEDO OVIEDO",
"FirstName": "AURELINA",
"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": "235 SOUTH LEXINGTON AVE, APT 6E",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WHITE PLAINS",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10606",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-646-9371",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "210 N CENTRAL AVE STE 340A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HARTSDALE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10530-1952",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-428-5151",
"PracticeLocationAddressFaxNumber": "914-428-7660",
"EnumerationDate": "09/14/2016",
"LastUpdateDate": "09/14/2016",
"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": "225200000X",
"TaxonomyName": "Physical Therapy Assistant",
"LicenseNumber": "010522-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}