{"npi":"1144048604","type":"NPI-1","status":"active","name":{"display":"Marissa Vardavas Pt","other":[],"first":"MARISSA","last":"VARDAVAS","credential":"PT"},"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":"OH","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"8561 MARKET ST","city":"BOARDMAN","state":"OH","postal_code":"445126727","country_code":"US","phone":"3309532383","fax":"3309532384"},{"purpose":"MAILING","street_1":"8561 MARKET ST","city":"BOARDMAN","state":"OH","postal_code":"445126727","country_code":"US","phone":"3309532383","fax":"3309532384"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250127000421","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"OH","pac_id":"1355870999"}]},"enumeration_date":"2024-10-02","last_updated":"2024-10-02","_meta":{"source":"NPPES","snapshot_date":"2024-10-02","doc_url":"https://findmynpi.com/api"}}