{"npi":"1063185684","type":"NPI-2","status":"active","name":{"display":"Pro Vita Physical Therapy LLC","other":[],"organization_name":"PRO VITA PHYSICAL THERAPY LLC","authorised_official":"Carla Bulla"},"specialty":{"primary_taxonomy":"261QP2000X","primary_taxonomy_description":"Physical Therapy Clinic/Center","slug":"physical-therapy-clinic-center","schema_org_specialty":null,"all":[{"code":"261QP2000X","description":"Physical Therapy Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1987 HIGHWAY 87","city":"NAVARRE","state":"FL","postal_code":"325661046","country_code":"US","phone":"8507107163","fax":"8559752471"},{"purpose":"MAILING","street_1":"638 N FERDON BLVD STE 1","city":"CRESTVIEW","state":"FL","postal_code":"325362170","country_code":"US","phone":"8507107163","fax":"8559752471"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"S0MOA","state":"FL","issuer":"FLORIDA BLUE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2021-07-29","last_updated":"2022-08-29","_meta":{"source":"NPPES","snapshot_date":"2022-08-29","doc_url":"https://findmynpi.com/api"}}