{"npi":"1104553262","type":"NPI-1","status":"active","name":{"display":"Michael Blanco Dpt","other":[],"first":"MICHAEL","last":"BLANCO","middle":"RYAN","credential":"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":"NJ","license":"40QA02105400"}]},"addresses":[{"purpose":"LOCATION","street_1":"31 VER VALEN ST","city":"CLOSTER","state":"NJ","postal_code":"076242699","country_code":"US","phone":"2017842700"},{"purpose":"MAILING","street_1":"5 AUSTIN PL","city":"HASBROUCK HEIGHTS","state":"NJ","postal_code":"076041438","country_code":"US","phone":"2012209049"}],"license":{"state":"NJ","number":"40QA02105400"},"identifiers":[{"type_code":"01","label":"Other","value":"40QA02105400","state":"NJ","issuer":"NEW JERSEY DIVISION OF CONSUMER AFFAIRS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20221104000578","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"NJ","pac_id":"8527435544"}]},"enumeration_date":"2022-08-08","last_updated":"2022-08-08","_meta":{"source":"NPPES","snapshot_date":"2022-08-08","doc_url":"https://findmynpi.com/api"}}