{"npi":"1265006191","type":"NPI-1","status":"active","name":{"display":"Ashley Rendon Dpt","other":[],"first":"ASHLEY","last":"RENDON","credential":"DPT"},"specialty":{"primary_taxonomy":"2251S0007X","primary_taxonomy_description":"Sports Physical Therapist","slug":"sports-physical-therapist","schema_org_specialty":null,"all":[{"code":"2251S0007X","description":"Sports Physical Therapist","primary":true,"state":"CA","license":"300163"}]},"addresses":[{"purpose":"LOCATION","street_1":"1609 BAKER ST","city":"COSTA MESA","state":"CA","postal_code":"926263701","country_code":"US","phone":"9497919401"},{"purpose":"MAILING","street_1":"1609 BAKER ST","city":"COSTA MESA","state":"CA","postal_code":"926263701","country_code":"US","phone":"9497919401"}],"license":{"state":"CA","number":"300163"},"identifiers":[{"type_code":"01","label":"Other","value":"300163","state":"CA","issuer":"LICENSE NUMBER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2021-05-15","last_updated":"2024-10-03","_meta":{"source":"NPPES","snapshot_date":"2024-10-03","doc_url":"https://findmynpi.com/api"}}