{"npi":"1669697413","type":"NPI-2","status":"active","name":{"display":"Functional Integrative Training, Inc.","other":[],"organization_name":"FUNCTIONAL INTEGRATIVE TRAINING, INC.","authorised_official":"Desiree Challice"},"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":"PT16878"}]},"addresses":[{"purpose":"LOCATION","street_1":"19 OLD KINGS RD N STE C107","city":"PALM COAST","state":"FL","postal_code":"321378261","country_code":"US","phone":"3864452348","fax":"3862694907"},{"purpose":"MAILING","street_1":"PO BOX 354932","city":"PALM COAST","state":"FL","postal_code":"321354932","country_code":"US","phone":"3864452348"}],"license":{"state":"FL","number":"PT16878"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20200710000954","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"FL","pac_id":"0941623813"}]},"enumeration_date":"2007-04-16","last_updated":"2021-12-13","_meta":{"source":"NPPES","snapshot_date":"2021-12-13","doc_url":"https://findmynpi.com/api"}}