{"npi":"1609159193","type":"NPI-2","status":"active","name":{"display":"Impact Health & Wellness LLC","other":[],"organization_name":"IMPACT HEALTH & WELLNESS LLC","authorised_official":"Manuel Aragon"},"specialty":{"primary_taxonomy":"172M00000X","primary_taxonomy_description":"Mechanotherapist","slug":"mechanotherapist","schema_org_specialty":null,"all":[{"code":"172M00000X","description":"Mechanotherapist","primary":true,"state":"CA","license":"CAMTC 20733"}]},"addresses":[{"purpose":"LOCATION","street_1":"2025 NEWPORT BLVD","city":"COSTA MESA","state":"CA","postal_code":"926272162","country_code":"US","street_2":"SUITE 110","phone":"9499546225"},{"purpose":"MAILING","street_1":"2025 NEWPORT BLVD","city":"COSTA MESA","state":"CA","postal_code":"926272162","country_code":"US","street_2":"SUITE 110","phone":"9499546225"}],"license":{"state":"CA","number":"CAMTC 20733"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2011-09-21","last_updated":"2011-09-21","_meta":{"source":"NPPES","snapshot_date":"2011-09-21","doc_url":"https://findmynpi.com/api"}}