{"npi":"1134167331","type":"NPI-1","status":"active","name":{"display":"Theodore Nelson P.T.","other":[],"first":"THEODORE","last":"NELSON","middle":"BROOKE","credential":"P.T."},"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":"MO","license":"107405"}]},"addresses":[{"purpose":"LOCATION","street_1":"5764 S FARM ROAD 203","city":"ROGERSVILLE","state":"MO","postal_code":"657426436","country_code":"US","phone":"4178440223","fax":"4178645781"},{"purpose":"MAILING","street_1":"PO BOX 11031","city":"SPRINGFIELD","state":"MO","postal_code":"658081031","country_code":"US","phone":"4178440223","fax":"4178645781"}],"license":{"state":"MO","number":"107405"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"485344808","state":"MO","issuer":null},{"type_code":"01","label":"Other","value":"431907333","state":"MO","issuer":"TRICARE"},{"type_code":"01","label":"Other","value":"P00196731","state":"MO","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-06-02","last_updated":"2009-08-20","_meta":{"source":"NPPES","snapshot_date":"2009-08-20","doc_url":"https://findmynpi.com/api"}}