{"npi":"1124795802","type":"NPI-1","status":"active","name":{"display":"Amanda Russell","other":[],"first":"AMANDA","last":"RUSSELL","middle":"DIDAWICK"},"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":"NC","license":"P20626"}]},"addresses":[{"purpose":"LOCATION","street_1":"103 SLEEPY DR STE G","city":"SPRING LAKE","state":"NC","postal_code":"283903319","country_code":"US","phone":"9104235622","fax":"9103781755"},{"purpose":"MAILING","street_1":"4602 CUMBERLAND RD","city":"FAYETTEVILLE","state":"NC","postal_code":"283062412","country_code":"US","phone":"9104235622","fax":"9103781755"}],"license":{"state":"NC","number":"P20626"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250314000081","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"NC","pac_id":"3779005251"}]},"enumeration_date":"2021-08-30","last_updated":"2023-02-01","_meta":{"source":"NPPES","snapshot_date":"2023-02-01","doc_url":"https://findmynpi.com/api"}}