{"npi":"1316693161","type":"NPI-2","status":"active","name":{"display":"Wholistic Revolution LLC","other":[],"organization_name":"WHOLISTIC REVOLUTION LLC","authorised_official":"Kenneth Poucket"},"specialty":{"primary_taxonomy":"261QP2000X","primary_taxonomy_description":"Physical Therapy Clinic/Center","slug":"physical-therapy-clinic-center","schema_org_specialty":null,"all":[{"code":"261QP2000X","description":"Physical Therapy Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4076 BIDDLE AVE","city":"WYANDOTTE","state":"MI","postal_code":"481927116","country_code":"US","phone":"7345586532"},{"purpose":"MAILING","street_1":"4076 BIDDLE AVE","city":"WYANDOTTE","state":"MI","postal_code":"481927116","country_code":"US","phone":"7345586532"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2022-03-01","last_updated":"2022-03-01","_meta":{"source":"NPPES","snapshot_date":"2022-03-01","doc_url":"https://findmynpi.com/api"}}