{"npi":"1447071071","type":"NPI-1","status":"active","name":{"display":"Valentina Fan","other":[],"first":"VALENTINA","last":"FAN"},"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":"NY","license":"053242"}]},"addresses":[{"purpose":"LOCATION","street_1":"475 NORTHERN BLVD STE 11","city":"GREAT NECK","state":"NY","postal_code":"110214802","country_code":"US","phone":"5168290030","fax":"5164667723"},{"purpose":"MAILING","street_1":"12 VAN NOSTRAND CT","city":"LITTLE NECK","state":"NY","postal_code":"113621448","country_code":"US"}],"license":{"state":"NY","number":"053242"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20241022004312","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"NY","pac_id":"3274065768"}]},"enumeration_date":"2024-10-17","last_updated":"2024-10-17","_meta":{"source":"NPPES","snapshot_date":"2024-10-17","doc_url":"https://findmynpi.com/api"}}