{"npi":"1023704236","type":"NPI-2","status":"active","name":{"display":"The Shine Pediatric Therapy Center","other":[],"organization_name":"THE SHINE PEDIATRIC THERAPY CENTER","authorised_official":"Justin Wonderly"},"specialty":{"primary_taxonomy":"225X00000X","primary_taxonomy_description":"Occupational Therapist","slug":"occupational-therapist","schema_org_specialty":null,"all":[{"code":"225X00000X","description":"Occupational Therapist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"921 W MISSOURI AVE","city":"CHICKASHA","state":"OK","postal_code":"730184328","country_code":"US","phone":"4056128396"},{"purpose":"MAILING","street_1":"921 W MISSOURI AVE","city":"CHICKASHA","state":"OK","postal_code":"730184328","country_code":"US","phone":"4056128396"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2023-04-12","last_updated":"2023-04-12","_meta":{"source":"NPPES","snapshot_date":"2023-04-12","doc_url":"https://findmynpi.com/api"}}