{"npi":"1013565779","type":"NPI-2","status":"active","name":{"display":"Beth Ingram Therapy Services","other":[],"organization_name":"BETH INGRAM THERAPY SERVICES","authorised_official":"Michelle Retsky"},"specialty":{"primary_taxonomy":"261Q00000X","primary_taxonomy_description":"Clinic/Center","slug":"clinic-center","schema_org_specialty":null,"all":[{"code":"261Q00000X","description":"Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2111 W SWANN AVE STE 100","city":"TAMPA","state":"FL","postal_code":"336062478","country_code":"US","phone":"7573863394"},{"purpose":"MAILING","street_1":"10598 ORANGE BLOSSOM LN","city":"SEMINOLE","state":"FL","postal_code":"337727503","country_code":"US","phone":"7573863394"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"SZ9227","state":"FL","issuer":"PROVISIONAL LICENSE FOR SPEECH LANGUAGE PATHOLOGIST"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2019-08-27","last_updated":"2019-08-27","_meta":{"source":"NPPES","snapshot_date":"2019-08-27","doc_url":"https://findmynpi.com/api"}}