{"npi":"1205842986","type":"NPI-2","status":"active","name":{"display":"Optimum Physical Therapy, Inc.","other":[],"organization_name":"OPTIMUM PHYSICAL THERAPY, INC.","authorised_official":"Snehal Mehta"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"225100000X","description":"Physical Therapist","primary":false,"state":"IL","license":"070011869"},{"code":"225X00000X","description":"Occupational Therapist","primary":false,"state":"IL","license":"056006131"},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"IL","license":"070012356"}]},"addresses":[{"purpose":"LOCATION","street_1":"9301 GOLF RD","city":"DES PLAINES","state":"IL","postal_code":"600161667","country_code":"US","street_2":"STE 204","phone":"8473919720","fax":"8473919721"},{"purpose":"MAILING","street_1":"9301 GOLF RD","city":"DES PLAINES","state":"IL","postal_code":"600161667","country_code":"US","street_2":"STE 204","phone":"8473919720","fax":"8473919721"}],"license":{"state":"IL","number":"070012356"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"352728176001","state":"IL","issuer":null},{"type_code":"01","label":"Other","value":"01635425","state":"IL","issuer":"BC/BS PROVIDER #"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050927000331","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"IL","pac_id":"8820022098"}]},"enumeration_date":"2006-08-01","last_updated":"2012-06-06","_meta":{"source":"NPPES","snapshot_date":"2012-06-06","doc_url":"https://findmynpi.com/api"}}