{"npi":"1700683265","type":"NPI-2","status":"active","name":{"display":"Revolution Wellness And Physical Therapy LLC","other":[],"organization_name":"REVOLUTION WELLNESS AND PHYSICAL THERAPY LLC","authorised_official":"Jesse Williams"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"402 N HICKORY AVE","city":"BEL AIR","state":"MD","postal_code":"210143267","country_code":"US","phone":"7178739480","fax":"7172192552"},{"purpose":"MAILING","street_1":"57 FLINTVILLE RD","city":"DELTA","state":"PA","postal_code":"173148541","country_code":"US","phone":"7178739480"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2025-03-03","last_updated":"2025-03-03","_meta":{"source":"NPPES","snapshot_date":"2025-03-03","doc_url":"https://findmynpi.com/api"}}