{"npi":"1396825840","type":"NPI-2","status":"active","name":{"display":"Summit Physical Therapy LLC","other":[],"organization_name":"SUMMIT PHYSICAL THERAPY LLC","authorised_official":"Andreas Lohmar"},"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":"IN","license":"05002908A"}]},"addresses":[{"purpose":"LOCATION","street_1":"6210 LIMA RD","city":"FORT WAYNE","state":"IN","postal_code":"468181428","country_code":"US","phone":"2604849491","fax":"2604849451"},{"purpose":"MAILING","street_1":"6210 LIMA RD","city":"FORT WAYNE","state":"IN","postal_code":"468181428","country_code":"US","phone":"2604849491","fax":"2604849451"}],"license":{"state":"IN","number":"05002908A"},"identifiers":[{"type_code":"01","label":"Other","value":"235360","state":null,"issuer":"MEDICARE ID - TYPE UNSPECIFIED"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20140408001977","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"IN","pac_id":"6103925524"}]},"enumeration_date":"2006-10-17","last_updated":"2021-12-02","_meta":{"source":"NPPES","snapshot_date":"2021-12-02","doc_url":"https://findmynpi.com/api"}}