{"npi":"1104505643","type":"NPI-1","status":"active","name":{"display":"Jose Fernandez Pt, Dpt","other":[],"first":"JOSE","last":"FERNANDEZ","credential":"PT, DPT"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"LA","license":"11517"}]},"addresses":[{"purpose":"LOCATION","street_1":"1450 CLAIBORNE AVE","city":"SHREVEPORT","state":"LA","postal_code":"711034204","country_code":"US","phone":"3188132970","fax":"3188132981"},{"purpose":"MAILING","street_1":"1450 CLAIBORNE AVE","city":"SHREVEPORT","state":"LA","postal_code":"711034204","country_code":"US","phone":"3188132970","fax":"3188132981"}],"license":{"state":"LA","number":"11517"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230807000972","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"LA","pac_id":"2668833666"}]},"enumeration_date":"2023-07-12","last_updated":"2023-07-12","_meta":{"source":"NPPES","snapshot_date":"2023-07-12","doc_url":"https://findmynpi.com/api"}}