{"npi":"1194186213","type":"NPI-2","status":"active","name":{"display":"Summerville Physical Therapy & Balance Rehabilitation For Adults, LLC","other":[],"organization_name":"SUMMERVILLE PHYSICAL THERAPY & BALANCE REHABILITATION FOR ADULTS, LLC","authorised_official":"David Brungo"},"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":"SC","license":"4850"}]},"addresses":[{"purpose":"LOCATION","street_1":"679 ORANGEBURG ROAD","city":"SUMMERVILLE","state":"SC","postal_code":"29483","country_code":"US","street_2":"SUITE D","phone":"8432096375","fax":"8432250348"},{"purpose":"MAILING","street_1":"679 ORANGEBURG ROAD","city":"SUMMERVILLE","state":"SC","postal_code":"29483","country_code":"US","street_2":"SUITE D","phone":"8432096375"}],"license":{"state":"SC","number":"4850"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20170411001686","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"SC","pac_id":"5496049835"}]},"enumeration_date":"2016-03-17","last_updated":"2019-01-25","_meta":{"source":"NPPES","snapshot_date":"2019-01-25","doc_url":"https://findmynpi.com/api"}}