{"npi":"1700288974","type":"NPI-2","status":"active","name":{"display":"Pro Balance LLC","other":[],"organization_name":"PRO BALANCE LLC","authorised_official":"Gilgia Prumbs"},"specialty":{"primary_taxonomy":"261QP2000X","primary_taxonomy_description":"Physical Therapy Clinic/Center","slug":"physical-therapy-clinic-center","schema_org_specialty":null,"all":[{"code":"261QP2000X","description":"Physical Therapy Clinic/Center","primary":true,"state":"TN","license":"PT2424"}]},"addresses":[{"purpose":"LOCATION","street_1":"2408 FORT HENRY DR","city":"KINGSPORT","state":"TN","postal_code":"376643708","country_code":"US","phone":"4232467272","fax":"4232462803"},{"purpose":"MAILING","street_1":"2408 FORT HENRY DR","city":"KINGSPORT","state":"TN","postal_code":"376643708","country_code":"US","phone":"4232467272","fax":"4232462803"}],"license":{"state":"TN","number":"PT2424"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"3654861","state":"TN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2014-09-19","last_updated":"2014-09-19","_meta":{"source":"NPPES","snapshot_date":"2014-09-19","doc_url":"https://findmynpi.com/api"}}