{"npi":"1134528557","type":"NPI-2","status":"active","name":{"display":"Practical Therapy LLC","other":[],"organization_name":"PRACTICAL THERAPY LLC","authorised_official":"Jeanne Fischer"},"specialty":{"primary_taxonomy":"251S00000X","primary_taxonomy_description":"Community/Behavioral Health Agency","slug":"community-behavioral-health-agency","schema_org_specialty":null,"all":[{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":true,"state":"MN","license":"13825"}]},"addresses":[{"purpose":"LOCATION","street_1":"570 ASBURY ST","city":"SAINT PAUL","state":"MN","postal_code":"551041849","country_code":"US","street_2":"SUITE 206","phone":"6127607818","fax":"6512124149"},{"purpose":"MAILING","street_1":"570 ASBURY ST","city":"SAINT PAUL","state":"MN","postal_code":"551041849","country_code":"US","street_2":"SUITE 206","phone":"6127607818","fax":"6512124149"}],"license":{"state":"MN","number":"13825"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"246900600","state":"MN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20150715001553","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MN","pac_id":"2860718939"}]},"enumeration_date":"2014-08-21","last_updated":"2014-08-21","_meta":{"source":"NPPES","snapshot_date":"2014-08-21","doc_url":"https://findmynpi.com/api"}}