{"npi":"1275015877","type":"NPI-1","status":"active","name":{"display":"Mckenzie Dvorak Pt, Dpt","other":[],"first":"MCKENZIE","last":"DVORAK","credential":"PT, DPT"},"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":"ND","license":"2189"}]},"addresses":[{"purpose":"LOCATION","street_1":"3175 SIENNA DR S STE 103","city":"FARGO","state":"ND","postal_code":"581048910","country_code":"US","phone":"7015321906","fax":"7015321896"},{"purpose":"MAILING","street_1":"3175 SIENNA DR S","city":"FARGO","state":"ND","postal_code":"581048910","country_code":"US","street_2":"STE 103","phone":"7015321906","fax":"7015321896"}],"license":{"state":"ND","number":"2189"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220912001385","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"TN","pac_id":"3678819778"},{"enrlmt_id":"I20230829003583","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"KY","pac_id":"3678819778"}]},"enumeration_date":"2018-08-30","last_updated":"2021-04-13","_meta":{"source":"NPPES","snapshot_date":"2021-04-13","doc_url":"https://findmynpi.com/api"}}