{"npi":"1265419014","type":"NPI-2","status":"active","name":{"display":"Orthopedics & Sports Medicine LLC","other":[],"organization_name":"ORTHOPEDICS & SPORTS MEDICINE LLC","authorised_official":"Carmelina Simon"},"specialty":{"primary_taxonomy":"207XX0005X","primary_taxonomy_description":"Orthopaedic Sports Medicine","slug":"orthopedic-sports-medicine","schema_org_specialty":"Musculoskeletal","all":[{"code":"225100000X","description":"Physical Therapist","primary":false,"state":null,"license":null},{"code":"207XX0005X","description":"Orthopaedic Sports Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"9499 W CHARLESTON BLVD","city":"LAS VEGAS","state":"NV","postal_code":"891177147","country_code":"US","street_2":"STE 200","phone":"7029339393","fax":"7029336789"},{"purpose":"MAILING","street_1":"PO BOX 97618","city":"LAS VEGAS","state":"NV","postal_code":"891937618","country_code":"US","phone":"7029339393","fax":"7029336789"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040427001203","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NV","pac_id":"4082601570"}]},"enumeration_date":"2005-12-22","last_updated":"2025-12-02","_meta":{"source":"NPPES","snapshot_date":"2025-12-02","doc_url":"https://findmynpi.com/api"}}