{"npi":"1669415162","type":"NPI-1","status":"active","name":{"display":"Mr. David Smith Pt, Cmdt","other":[],"first":"DAVID","last":"SMITH","credential":"PT, CMDT"},"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":"PT20472"}]},"addresses":[{"purpose":"LOCATION","street_1":"5000 N WICKHAM RD STE 107","city":"MELBOURNE","state":"FL","postal_code":"329407321","country_code":"US","phone":"3217014020","fax":"3217014009"},{"purpose":"MAILING","street_1":"5000 N WICKHAM RD STE 107","city":"MELBOURNE","state":"FL","postal_code":"329407321","country_code":"US","phone":"3217014020","fax":"3217014009"}],"license":{"state":"FL","number":"PT20472"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"020385000","state":"FL","issuer":null},{"type_code":"01","label":"Other","value":"K9101","state":"FL","issuer":"HARBOR CITY PHYSICAL THERAPY GROUP NUMBER"},{"type_code":"01","label":"Other","value":"PT-20472","state":"FL","issuer":"STATE OF FL. PT LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050629001199","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"FL","pac_id":"5496791493"}]},"enumeration_date":"2006-06-13","last_updated":"2018-06-16","_meta":{"source":"NPPES","snapshot_date":"2018-06-16","doc_url":"https://findmynpi.com/api"}}