{"npi":"1124172895","type":"NPI-2","status":"active","name":{"display":"Chesapeake Physical Aquatic Therapy INC","other":[],"organization_name":"CHESAPEAKE PHYSICAL AQUATIC THERAPY INC","authorised_official":"Jared Goldstein"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"2251X0800X","description":"Orthopedic Physical Therapist","primary":false,"state":null,"license":null},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"551F BALTIMORE ANNAPOLIS BLVD","city":"SEVERNA PARK","state":"MD","postal_code":"211463809","country_code":"US","phone":"4103159080","fax":"4103159012"},{"purpose":"MAILING","street_1":"314 MARSHALL AVE","city":"LAUREL","state":"MD","postal_code":"207074823","country_code":"US","phone":"4103159080","fax":"4103159012"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"KBX3","state":"MD","issuer":"BLUE SHIELD MD PROVIDER#"},{"type_code":"01","label":"Other","value":"S429","state":"MD","issuer":"BLUE SHIELD DC PROVIDER#"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-01-22","last_updated":"2008-12-19","_meta":{"source":"NPPES","snapshot_date":"2008-12-19","doc_url":"https://findmynpi.com/api"}}