{"npi":"1629009048","type":"NPI-2","status":"active","name":{"display":"Clinical Therapeutics INC","other":[],"organization_name":"CLINICAL THERAPEUTICS INC","authorised_official":"Carl Sandstrom"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"2251E1300X","description":"Clinical Electrophysiology Physical Therapist","primary":false,"state":null,"license":null},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2265 MARKET STREET","city":"WARREN","state":"PA","postal_code":"163654682","country_code":"US","street_2":"SUITE A","phone":"8147269050","fax":"8147269629"},{"purpose":"MAILING","street_1":"2265 MARKET STREET","city":"WARREN","state":"PA","postal_code":"163654682","country_code":"US","street_2":"SUITE A","phone":"8147269050","fax":"8147269629"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1007362470012","state":"PA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050420000275","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"PA","pac_id":"4981642014"}]},"enumeration_date":"2006-07-05","last_updated":"2021-12-02","_meta":{"source":"NPPES","snapshot_date":"2021-12-02","doc_url":"https://findmynpi.com/api"}}