NPI Code Detail JSON Logo

1982322301 NPI number — JESSICA LYNN PULLEY PT, DPT

NPI Number: 1982322301
Health Care Provider/Practitioner: JESSICA LYNN PULLEY PT, DPT

Information about “1982322301” NPI (JESSICA LYNN PULLEY PT, DPT) exists in 1982322301 in HTML format HTML  |  1982322301 in plain Text format TXT  |  1982322301 in PDF (Portable Document Format) PDF  |  1982322301 in an XML format XML  formats.

NPI Number : 1982322301 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982322301",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PULLEY",
    "FirstName": "JESSICA",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT, DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "405 ALFALFA LANE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MARTINSBURG",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "25403-0000",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "240-405-7951",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11820 PARKLAWN DR STE 180",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCKVILLE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20852-2529",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-770-3133",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/22/2022",
    "LastUpdateDate": "01/05/2026",
    "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": "29095",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.