{"npi":"1699718403","type":"NPI-1","status":"active","name":{"display":"Michael Crockett Mpt","other":[],"first":"MICHAEL","last":"CROCKETT","middle":"G","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":false,"state":"MN","license":"6271"},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"ND","license":"1289"}]},"addresses":[{"purpose":"LOCATION","street_1":"2901 S FRONTAGE RD STE 3","city":"MOORHEAD","state":"MN","postal_code":"565602572","country_code":"US","phone":"2182337029","fax":"2182337029"},{"purpose":"MAILING","street_1":"2901 S FRONTAGE RD STE 3","city":"MOORHEAD","state":"MN","postal_code":"565602572","country_code":"US","phone":"2182337029","fax":"2185171384"}],"license":{"state":"ND","number":"1289"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20151110001273","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"MN","pac_id":"5496700585"}]},"enumeration_date":"2006-06-13","last_updated":"2026-04-29","_meta":{"source":"NPPES","snapshot_date":"2026-04-29","doc_url":"https://findmynpi.com/api"}}