{"npi":"1235150392","type":"NPI-2","status":"active","name":{"display":"Warner Physical Therapy PC","other":[],"organization_name":"WARNER PHYSICAL THERAPY PC","authorised_official":"Brian Warner"},"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":"NY","license":"021649"}]},"addresses":[{"purpose":"LOCATION","street_1":"364 EAST AVE","city":"OSWEGO","state":"NY","postal_code":"131266148","country_code":"US","phone":"3153260056","fax":"3153260102"},{"purpose":"MAILING","street_1":"364 EAST AVE","city":"OSWEGO","state":"NY","postal_code":"131266148","country_code":"US","phone":"3153260056","fax":"3153260102"}],"license":{"state":"NY","number":"021649"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"02622993","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20041122000237","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"NY","pac_id":"8527023332"}]},"enumeration_date":"2006-07-22","last_updated":"2018-03-17","_meta":{"source":"NPPES","snapshot_date":"2018-03-17","doc_url":"https://findmynpi.com/api"}}