{"npi":"1023487105","type":"NPI-2","status":"active","name":{"display":"Journey Pediatric Therapy","other":[],"organization_name":"JOURNEY PEDIATRIC THERAPY","authorised_official":"Maresa Black"},"specialty":{"primary_taxonomy":"261QR0400X","primary_taxonomy_description":"Rehabilitation Clinic/Center","slug":"rehabilitation-clinic-center","schema_org_specialty":null,"all":[{"code":"225XP0200X","description":"Pediatric Occupational Therapist","primary":false,"state":null,"license":null},{"code":"261QR0400X","description":"Rehabilitation Clinic/Center","primary":true,"state":"ID","license":"OT-1405"}]},"addresses":[{"purpose":"LOCATION","street_1":"1009 HIGHWAY 2 STE C","city":"SANDPOINT","state":"ID","postal_code":"838642713","country_code":"US","phone":"2086278615","fax":"2084412641"},{"purpose":"MAILING","street_1":"PO BOX 2476","city":"SANDPOINT","state":"ID","postal_code":"838640914","country_code":"US"}],"license":{"state":"ID","number":"OT-1405"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1023487105","state":"ID","issuer":null},{"type_code":"05","label":"Medicaid","value":"1750758702","state":"ID","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2015-09-18","last_updated":"2022-06-01","_meta":{"source":"NPPES","snapshot_date":"2022-06-01","doc_url":"https://findmynpi.com/api"}}