{
"Npi": {
"NPI": "1972077998",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ZEMEL",
"FirstName": "REBECCA",
"MiddleName": "MICHELLE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LMT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ZEMEL",
"OtherFirstName": "BECKI",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LMT",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "2724 TERRITORIAL RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BENTON HARBOR",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49022-7758",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "269-930-2611",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "815 MAIN ST STE 17",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAINT JOSEPH",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "49085-1473",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "269-930-2611",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/12/2019",
"LastUpdateDate": "01/12/2019",
"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": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "7501011025",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}