{"npi":"1487615027","type":"NPI-1","status":"active","name":{"display":"Mrs. Jennifer Gordon Pt","other":[{"code":"1","type":"Formerly known as","value":"CHIARAVALLOTTI, JENNIFER"}],"first":"JENNIFER","last":"GORDON","credential":"PT"},"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":"MD","license":"21047"}]},"addresses":[{"purpose":"LOCATION","street_1":"14999 HEALTH CENTER DR STE 201","city":"BOWIE","state":"MD","postal_code":"207161087","country_code":"US","phone":"2402454245","fax":"2402454916"},{"purpose":"MAILING","street_1":"7500 HANOVER PKWY STE 103","city":"GREENBELT","state":"MD","postal_code":"207702011","country_code":"US","phone":"3014461644","fax":"3014461647"}],"license":{"state":"MD","number":"21047"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"336407100","state":"MD","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20141021001235","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"DC","pac_id":"3577726058"}]},"enumeration_date":"2006-03-31","last_updated":"2013-10-01","_meta":{"source":"NPPES","snapshot_date":"2013-10-01","doc_url":"https://findmynpi.com/api"}}