{"npi":"1083403091","type":"NPI-1","status":"active","name":{"display":"Sammantha Fabish Pta","other":[{"code":"1","type":"Formerly known as","value":"BETTIS, SAMMANTHA CRYSTA"}],"first":"SAMMANTHA","last":"FABISH","middle":"CRYSTA","credential":"PTA"},"specialty":{"primary_taxonomy":"225200000X","primary_taxonomy_description":"Physical Therapy Assistant","slug":"physical-therapy-assistant","schema_org_specialty":null,"all":[{"code":"225200000X","description":"Physical Therapy Assistant","primary":false,"state":"MO","license":"CP033296A"},{"code":"225200000X","description":"Physical Therapy Assistant","primary":true,"state":"AZ","license":"014535"}]},"addresses":[{"purpose":"LOCATION","street_1":"4045 E BELL RD STE 150","city":"PHOENIX","state":"AZ","postal_code":"850322239","country_code":"US","phone":"6029928352"},{"purpose":"MAILING","street_1":"2134 E BROADWAY RD UNIT 2019","city":"TEMPE","state":"AZ","postal_code":"852821778","country_code":"US","phone":"6184091779"}],"license":{"state":"AZ","number":"014535"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2025-05-05","last_updated":"2025-05-05","_meta":{"source":"NPPES","snapshot_date":"2025-05-05","doc_url":"https://findmynpi.com/api"}}