{"npi":"1740729151","type":"NPI-2","status":"active","name":{"display":"Crescent Cities Charities INC","other":[],"organization_name":"CRESCENT CITIES CHARITIES INC","authorised_official":"Betsy Godbey"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"225X00000X","description":"Occupational Therapist","primary":false,"state":"MD","license":"16039"},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"MD","license":"16039"}]},"addresses":[{"purpose":"LOCATION","street_1":"4409 E WEST HWY","city":"RIVERDALE","state":"MD","postal_code":"207371058","country_code":"US","phone":"3016992000"},{"purpose":"MAILING","street_1":"4409 E WEST HWY","city":"RIVERDALE","state":"MD","postal_code":"207371058","country_code":"US","phone":"3016992000"}],"license":{"state":"MD","number":"16039"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"073726700","state":"MD","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2017-02-17","last_updated":"2017-09-13","_meta":{"source":"NPPES","snapshot_date":"2017-09-13","doc_url":"https://findmynpi.com/api"}}