{"npi":"1104535673","type":"NPI-2","status":"active","name":{"display":"K2 Physical Therapy LLC","other":[],"organization_name":"K2 PHYSICAL THERAPY LLC","authorised_official":"Brendan Kirk"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"10 DOGWOOD LN","city":"HO HO KUS","state":"NJ","postal_code":"074231653","country_code":"US","phone":"2012302357"},{"purpose":"MAILING","street_1":"10 DOGWOOD LN","city":"HO HO KUS","state":"NJ","postal_code":"074231653","country_code":"US"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0991759","state":"NJ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20230301000045","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"NJ","pac_id":"7618340357"}]},"enumeration_date":"2022-11-23","last_updated":"2024-07-25","_meta":{"source":"NPPES","snapshot_date":"2024-07-25","doc_url":"https://findmynpi.com/api"}}