{"npi":"1356998637","type":"NPI-2","status":"active","name":{"display":"Advanced Childrens Therapy INC","other":[],"organization_name":"ADVANCED CHILDRENS THERAPY INC","authorised_official":"Marlye Gonzalez Alfonso"},"specialty":{"primary_taxonomy":"261QM1300X","primary_taxonomy_description":"Multi-Specialty Clinic/Center","slug":"multi-specialty-clinic-center","schema_org_specialty":null,"all":[{"code":"208000000X","description":"Pediatrics","primary":false,"state":null,"license":null},{"code":"252Y00000X","description":"Early Intervention Provider Agency","primary":false,"state":null,"license":null},{"code":"261Q00000X","description":"Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QD1600X","description":"Developmental Disabilities Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QM1300X","description":"Multi-Specialty Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2119 10TH AVE N","city":"LAKE WORTH BEACH","state":"FL","postal_code":"334613345","country_code":"US","phone":"5616296882","fax":"5618283102"},{"purpose":"MAILING","street_1":"2119 10TH AVE N","city":"LAKE WORTH BEACH","state":"FL","postal_code":"334613345","country_code":"US","phone":"5616296882","fax":"5618283102"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"025094700","state":"FL","issuer":null},{"type_code":"05","label":"Medicaid","value":"105119800","state":"FL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2019-08-21","last_updated":"2023-02-26","_meta":{"source":"NPPES","snapshot_date":"2023-02-26","doc_url":"https://findmynpi.com/api"}}