{"npi":"1477542041","type":"NPI-2","status":"active","name":{"display":"Summit Rehabilitation LLC","other":[],"organization_name":"SUMMIT REHABILITATION LLC","authorised_official":"Shannon Stevens"},"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":"NM","license":"2570"}]},"addresses":[{"purpose":"LOCATION","street_1":"722 E FLORIDA ST","city":"DEMING","state":"NM","postal_code":"880305310","country_code":"US","phone":"5055462555","fax":"5055462725"},{"purpose":"MAILING","street_1":"722 E FLORIDA ST","city":"DEMING","state":"NM","postal_code":"880305310","country_code":"US","phone":"5055462555","fax":"5055462725"}],"license":{"state":"NM","number":"2570"},"identifiers":[{"type_code":"01","label":"Other","value":"104461700","state":null,"issuer":"US DEPT OF LABOR"},{"type_code":"01","label":"Other","value":"73559","state":null,"issuer":"PRES"},{"type_code":"01","label":"Other","value":"P00079902","state":null,"issuer":"RR MEDICARE"},{"type_code":"01","label":"Other","value":"23693","state":null,"issuer":"LVLC"},{"type_code":"05","label":"Medicaid","value":"57831271","state":"NM","issuer":null},{"type_code":"01","label":"Other","value":"NMO1Q136","state":null,"issuer":"BCBS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110218000130","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"NM","pac_id":"1052592482"}]},"enumeration_date":"2005-10-17","last_updated":"2010-07-15","_meta":{"source":"NPPES","snapshot_date":"2010-07-15","doc_url":"https://findmynpi.com/api"}}