{"npi":"1639004658","type":"NPI-1","status":"active","name":{"display":"Charles Pethtel","other":[],"first":"CHARLES","last":"PETHTEL"},"specialty":{"primary_taxonomy":"225200000X","primary_taxonomy_description":"Physical Therapy Assistant","slug":"physical-therapy-assistant","schema_org_specialty":null,"all":[{"code":"225200000X","description":"Physical Therapy Assistant","primary":true,"state":"WV","license":"PTA001659"}]},"addresses":[{"purpose":"LOCATION","street_1":"1543 COUNTRY CLUB RD","city":"FAIRMONT","state":"WV","postal_code":"265541306","country_code":"US","phone":"3043632273"},{"purpose":"MAILING","street_1":"1543 COUNTRY CLUB RD","city":"FAIRMONT","state":"WV","postal_code":"265541306","country_code":"US"}],"license":{"state":"WV","number":"PTA001659"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2026-06-13","last_updated":"2026-06-13","_meta":{"source":"NPPES","snapshot_date":"2026-06-13","doc_url":"https://findmynpi.com/api"}}