{"npi":"1093220741","type":"NPI-2","status":"active","name":{"display":"Blanford Pediatric Therapy LLC","other":[],"organization_name":"BLANFORD PEDIATRIC THERAPY LLC","authorised_official":"Angie Boltwood"},"specialty":{"primary_taxonomy":"104100000X","primary_taxonomy_description":"Social Worker","slug":"social-worker","schema_org_specialty":null,"all":[{"code":"103T00000X","description":"Psychologist","primary":false,"state":null,"license":null},{"code":"101Y00000X","description":"Counselor","primary":false,"state":null,"license":null},{"code":"103K00000X","description":"Behavior Analyst","primary":false,"state":null,"license":null},{"code":"106E00000X","description":"Assistant Behavior Analyst","primary":false,"state":null,"license":null},{"code":"104100000X","description":"Social Worker","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"201 S 5TH ST","city":"BARDSTOWN","state":"KY","postal_code":"400041142","country_code":"US","phone":"5023315478","fax":"5023850234"},{"purpose":"MAILING","street_1":"201 S 5TH ST","city":"BARDSTOWN","state":"KY","postal_code":"400041142","country_code":"US","phone":"5023315478","fax":"5023850234"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"7100424590","state":"KY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2017-12-04","last_updated":"2023-08-31","_meta":{"source":"NPPES","snapshot_date":"2023-08-31","doc_url":"https://findmynpi.com/api"}}