{
"Npi": {
"NPI": "1972140150",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ROUTON",
"FirstName": "NINA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PT, DPT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "VOGEL",
"OtherFirstName": "NINA",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "904 N NEVADA ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CARSON CITY",
"MailingAddressStateName": "NV",
"MailingAddressPostalCode": "89703-3934",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "714-296-3336",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "904 N NEVADA ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CARSON CITY",
"PracticeLocationAddressStateName": "NV",
"PracticeLocationAddressPostalCode": "89703-3934",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "714-296-3336",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/05/2019",
"LastUpdateDate": "12/17/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": "09/28/2021",
"NPIReactivationDate": "06/28/2024",
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2251X0800X",
"TaxonomyName": "Orthopedic Physical Therapist",
"LicenseNumber": "3128",
"LicenseNumberStateCode": "NV",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}