{"npi":"1033558093","type":"NPI-1","status":"active","name":{"display":"Marisa Flavin M.D.","other":[],"first":"MARISA","last":"FLAVIN","credential":"M.D."},"specialty":{"primary_taxonomy":"208100000X","primary_taxonomy_description":"Physical Medicine & Rehabilitation","slug":"physical-medicine-rehabilitation","schema_org_specialty":"Musculoskeletal","all":[{"code":"208100000X","description":"Physical Medicine & Rehabilitation","primary":false,"state":"MA","license":"256291"},{"code":"208100000X","description":"Physical Medicine & Rehabilitation","primary":true,"state":"MD","license":"D0101188"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"MA","license":"256291"}]},"addresses":[{"purpose":"LOCATION","street_1":"707 N BROADWAY","city":"BALTIMORE","state":"MD","postal_code":"212051888","country_code":"US","phone":"4439231842"},{"purpose":"MAILING","street_1":"6201 GREENLEIGH AVE FL 2","city":"MIDDLE RIVER","state":"MD","postal_code":"212202004","country_code":"US"}],"license":{"state":"MD","number":"D0101188"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20191028001224","type_code":"14-25","type_desc":"PRACTITIONER - PHYSICAL MEDICINE AND REHABILITATION","state":"UT","pac_id":"5991004228"},{"enrlmt_id":"I20241013000052","type_code":"14-25","type_desc":"PRACTITIONER - PHYSICAL MEDICINE AND REHABILITATION","state":"MD","pac_id":"5991004228"}]},"enumeration_date":"2013-06-22","last_updated":"2024-11-11","_meta":{"source":"NPPES","snapshot_date":"2024-11-11","doc_url":"https://findmynpi.com/api"}}