{"npi":"1689620106","type":"NPI-1","status":"active","name":{"display":"Stephen Lake Mpt","other":[],"first":"STEPHEN","last":"LAKE","middle":"TAYLOR","credential":"MPT"},"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":"TN","license":"3705"},{"code":"225100000X","description":"Physical Therapist","primary":false,"state":"GA","license":"PT004097"}]},"addresses":[{"purpose":"LOCATION","street_1":"4957 SWINYAR DR STE 103","city":"OOLTEWAH","state":"TN","postal_code":"373632205","country_code":"US","phone":"4236640800","fax":"4236640801"},{"purpose":"MAILING","street_1":"800 CRESCENT CENTRE DR STE 600","city":"FRANKLIN","state":"TN","postal_code":"370677286","country_code":"US","phone":"6153731350","fax":"6152219054"}],"license":{"state":"TN","number":"3705"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0446652","state":"TN","issuer":null},{"type_code":"01","label":"Other","value":"3156797","state":"TN","issuer":"BCBST - GROUP NUMBER"},{"type_code":"05","label":"Medicaid","value":"5441437","state":"TN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-05-26","last_updated":"2018-10-30","_meta":{"source":"NPPES","snapshot_date":"2018-10-30","doc_url":"https://findmynpi.com/api"}}