{"npi":"1104989268","type":"NPI-1","status":"active","name":{"display":"Mr. Timothy Fullmer Mspt","other":[],"first":"TIMOTHY","last":"FULLMER","middle":"MICHAEL","credential":"MSPT"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"225100000X","description":"Physical Therapist","primary":false,"state":"NY","license":"022693"},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"NY","license":"022693-1"}]},"addresses":[{"purpose":"LOCATION","street_1":"150 BROAD ST","city":"WAVERLY","state":"NY","postal_code":"148921361","country_code":"US","phone":"6076872495"},{"purpose":"MAILING","street_1":"150 BROAD ST","city":"WAVERLY","state":"NY","postal_code":"148921361","country_code":"US","phone":"6076872495"}],"license":{"state":"NY","number":"022693-1"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-12-19","last_updated":"2021-03-26","_meta":{"source":"NPPES","snapshot_date":"2021-03-26","doc_url":"https://findmynpi.com/api"}}