{"npi":"1265038160","type":"NPI-2","status":"active","name":{"display":"Proactivity Fitness Physical Therapy Associates","other":[],"organization_name":"PROACTIVITY FITNESS PHYSICAL THERAPY ASSOCIATES","authorised_official":"Justin Bagley"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1250 STATE ROUTE 31","city":"LEBANON","state":"NJ","postal_code":"088333238","country_code":"US","phone":"9087306640","fax":"9087300468"},{"purpose":"MAILING","street_1":"1250 STATE ROUTE 31","city":"LEBANON","state":"NJ","postal_code":"088333238","country_code":"US","phone":"9087306640","fax":"9087300468"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20201230002449","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"NJ","pac_id":"1658784103"}]},"enumeration_date":"2020-12-07","last_updated":"2020-12-07","_meta":{"source":"NPPES","snapshot_date":"2020-12-07","doc_url":"https://findmynpi.com/api"}}