{"npi":"1407630643","type":"NPI-1","status":"active","name":{"display":"Lake Foco Dpt","other":[],"first":"LAKE","last":"FOCO","credential":"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"17272 ROBBINS RD STE 102","city":"GRAND HAVEN","state":"MI","postal_code":"494172677","country_code":"US","phone":"6162568670"},{"purpose":"MAILING","street_1":"PO BOX 30516","city":"LANSING","state":"MI","postal_code":"48909","country_code":"US","street_2":"DEPT 5300"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"5501302860","state":"MI","issuer":"STATE LICENSE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2023-08-21","last_updated":"2024-04-22","_meta":{"source":"NPPES","snapshot_date":"2024-04-22","doc_url":"https://findmynpi.com/api"}}