{"npi":"1124557673","type":"NPI-2","status":"active","name":{"display":"Team King Physical Therapy LLC","other":[],"organization_name":"TEAM KING PHYSICAL THERAPY LLC","authorised_official":"Matthew King"},"specialty":{"primary_taxonomy":"261QP2000X","primary_taxonomy_description":"Physical Therapy Clinic/Center","slug":"physical-therapy-clinic-center","schema_org_specialty":null,"all":[{"code":"261QP2000X","description":"Physical Therapy Clinic/Center","primary":true,"state":"PA","license":"PT021811"}]},"addresses":[{"purpose":"LOCATION","street_1":"905 SPRUCE ST STE 104","city":"IRWIN","state":"PA","postal_code":"156423683","country_code":"US","phone":"7243824206"},{"purpose":"MAILING","street_1":"905 SPRUCE ST STE 104","city":"IRWIN","state":"PA","postal_code":"156423683","country_code":"US","phone":"7243824206"}],"license":{"state":"PA","number":"PT021811"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20171011001513","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"PA","pac_id":"6002181484"}]},"enumeration_date":"2017-06-08","last_updated":"2024-12-26","_meta":{"source":"NPPES","snapshot_date":"2024-12-26","doc_url":"https://findmynpi.com/api"}}