{"npi":"1144389677","type":"NPI-2","status":"active","name":{"display":"Midwest Physical Therapy, PC","other":[],"organization_name":"MIDWEST PHYSICAL THERAPY, PC","authorised_official":"Maury Allen"},"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":"20000174328"}]},"addresses":[{"purpose":"LOCATION","street_1":"1926 OAK ST","city":"UNIONVILLE","state":"MO","postal_code":"635651180","country_code":"US","phone":"8778704976","fax":"8665817732"},{"purpose":"MAILING","street_1":"PO BOX 30110","city":"COLUMBIA","state":"MO","postal_code":"652053110","country_code":"US","phone":"8778704976","fax":"8665817732"}],"license":{"state":"MO","number":"20000174328"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"485883813","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20140917001266","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"MO","pac_id":"9335190339"}]},"enumeration_date":"2006-12-08","last_updated":"2023-11-10","_meta":{"source":"NPPES","snapshot_date":"2023-11-10","doc_url":"https://findmynpi.com/api"}}