{"npi":"1720162662","type":"NPI-2","status":"active","name":{"display":"Southern Physical Therapy, LLC","other":[],"organization_name":"SOUTHERN PHYSICAL THERAPY, LLC","authorised_official":"William Mastalerz"},"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":"TN","license":"PT6832"},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"TN","license":"PT2044"}]},"addresses":[{"purpose":"LOCATION","street_1":"1810 SHADY BROOK ST","city":"COLUMBIA","state":"TN","postal_code":"384013993","country_code":"US","street_2":"SUITE 3","phone":"9313888500"},{"purpose":"MAILING","street_1":"1810 SHADY BROOK ST","city":"COLUMBIA","state":"TN","postal_code":"384013993","country_code":"US","street_2":"SUITE 3","phone":"9313888500"}],"license":{"state":"TN","number":"PT2044"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"3723207","state":"TN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-10-25","last_updated":"2015-02-23","_meta":{"source":"NPPES","snapshot_date":"2015-02-23","doc_url":"https://findmynpi.com/api"}}