{"npi":"1659616944","type":"NPI-2","status":"active","name":{"display":"Country Club Physical Therapy, LLC","other":[],"organization_name":"COUNTRY CLUB PHYSICAL THERAPY, LLC","authorised_official":"Philip Crombie"},"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":"FL","license":"PT11581"}]},"addresses":[{"purpose":"LOCATION","street_1":"14529 INDIGO LAKES CIR","city":"NAPLES","state":"FL","postal_code":"341194811","country_code":"US","phone":"2392801229"},{"purpose":"MAILING","street_1":"PO BOX 8838","city":"NAPLES","state":"FL","postal_code":"341018838","country_code":"US","phone":"2392801229"}],"license":{"state":"FL","number":"PT11581"},"identifiers":[{"type_code":"01","label":"Other","value":"PT11581","state":"FL","issuer":"FLORIDA PHYSICAL THERAPY LICENSE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2012-11-28","last_updated":"2012-11-28","_meta":{"source":"NPPES","snapshot_date":"2012-11-28","doc_url":"https://findmynpi.com/api"}}