{"npi":"1558478263","type":"NPI-1","status":"active","name":{"display":"Coburn Shank Mspt","other":[{"code":"5","type":"Also known as","value":"SHANK, COBY"}],"first":"COBURN","last":"SHANK","credential":"MSPT"},"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":"IA","license":"02418"}]},"addresses":[{"purpose":"LOCATION","street_1":"1601 NW 114TH ST STE 347","city":"CLIVE","state":"IA","postal_code":"503257046","country_code":"US","phone":"5152227350","fax":"5152227355"},{"purpose":"MAILING","street_1":"PO BOX 674721","city":"DALLAS","state":"TX","postal_code":"752674721","country_code":"US","phone":"5156432519","fax":"5152227355"}],"license":{"state":"IA","number":"02418"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0452409","state":"IA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041206000282","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"IA","pac_id":"5092771659"}]},"enumeration_date":"2006-08-25","last_updated":"2026-04-09","_meta":{"source":"NPPES","snapshot_date":"2026-04-09","doc_url":"https://findmynpi.com/api"}}