{"npi":"1124855754","type":"NPI-1","status":"active","name":{"display":"Alexis Jackson","other":[],"first":"ALEXIS","last":"JACKSON","middle":"R"},"specialty":{"primary_taxonomy":"208100000X","primary_taxonomy_description":"Physical Medicine & Rehabilitation","slug":"physical-medicine-rehabilitation","schema_org_specialty":"Musculoskeletal","all":[{"code":"208100000X","description":"Physical Medicine & Rehabilitation","primary":true,"state":"FL","license":"PTA29421"}]},"addresses":[{"purpose":"LOCATION","street_1":"11391 SQUARE ST UNIT 2312","city":"JACKSONVILLE","state":"FL","postal_code":"322564099","country_code":"US","phone":"4045587348"},{"purpose":"MAILING","street_1":"11391 SQUARE ST UNIT 6114","city":"JACKSONVILLE","state":"FL","postal_code":"322564123","country_code":"US","phone":"4045587348"}],"license":{"state":"FL","number":"PTA29421"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2024-09-17","last_updated":"2024-09-17","_meta":{"source":"NPPES","snapshot_date":"2024-09-17","doc_url":"https://findmynpi.com/api"}}