{"npi":"1144543323","type":"NPI-2","status":"active","name":{"display":"Outpatient Physical Therapy & Sports Rehabilitation, INC, PC","other":[],"organization_name":"OUTPATIENT PHYSICAL THERAPY & SPORTS REHABILITATION,INC, PC","authorised_official":"Diane Baker"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"225X00000X","description":"Occupational Therapist","primary":false,"state":null,"license":null},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"8009 S 180TH STE","city":"KENT","state":"WA","postal_code":"980321042","country_code":"US","street_2":"112","phone":"4252267827","fax":"4252515757"},{"purpose":"MAILING","street_1":"26837 MAPLE VALLEY HIGHWAY","city":"MAPLE VALLEY","state":"WA","postal_code":"980389917","country_code":"US","street_2":"SUITE 200","phone":"4254134427"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"GAB11700","state":"WA","issuer":"MEDICARE PTAN"},{"type_code":"05","label":"Medicaid","value":"7086606","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930036184","type_code":"30-65","type_desc":"DME SUPPLIER - INDEPENDENTLY-PRACTICING PHYSICAL THERAPIST","state":"WA","pac_id":"3678487063"}]},"enumeration_date":"2010-03-02","last_updated":"2013-10-23","_meta":{"source":"NPPES","snapshot_date":"2013-10-23","doc_url":"https://findmynpi.com/api"}}