{"npi":"1174079321","type":"NPI-2","status":"active","name":{"display":"Potomac Physical Therapy And Sports Medicine, LLC","other":[],"organization_name":"POTOMAC PHYSICAL THERAPY AND SPORTS MEDICINE, LLC","authorised_official":"Gary Lin"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"2251S0007X","description":"Sports Physical Therapist","primary":false,"state":"MD","license":"20386"},{"code":"2251X0800X","description":"Orthopedic Physical Therapist","primary":false,"state":"MD","license":"20386"},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"MD","license":"20386"}]},"addresses":[{"purpose":"LOCATION","street_1":"7811 MONTROSE RD","city":"POTOMAC","state":"MD","postal_code":"208543363","country_code":"US","street_2":"SUITE 350","phone":"3012135700"},{"purpose":"MAILING","street_1":"15521 PEACH LEAF LN","city":"NORTH POTOMAC","state":"MD","postal_code":"208782342","country_code":"US","phone":"3012135700"}],"license":{"state":"MD","number":"20386"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20170126001068","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"DC","pac_id":"7315229341"}]},"enumeration_date":"2016-08-28","last_updated":"2016-08-28","_meta":{"source":"NPPES","snapshot_date":"2016-08-28","doc_url":"https://findmynpi.com/api"}}