{"npi":"1407455199","type":"NPI-1","status":"active","name":{"display":"Jesse Phalanukorn","other":[],"first":"JESSE","last":"PHALANUKORN"},"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":"WA","license":"PT61209291"}]},"addresses":[{"purpose":"LOCATION","street_1":"489 BRICK BLVD","city":"BRICK","state":"NJ","postal_code":"087236055","country_code":"US","phone":"7328957283"},{"purpose":"MAILING","street_1":"489 BRICK BLVD","city":"BRICK","state":"NJ","postal_code":"087236055","country_code":"US","phone":"7328957283"}],"license":{"state":"WA","number":"PT61209291"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210203000730","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"NJ","pac_id":"4789098773"},{"enrlmt_id":"I20230418002362","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"AK","pac_id":"4789098773"}]},"enumeration_date":"2020-10-22","last_updated":"2021-10-21","_meta":{"source":"NPPES","snapshot_date":"2021-10-21","doc_url":"https://findmynpi.com/api"}}