{"npi":"1740934199","type":"NPI-2","status":"active","name":{"display":"Smithfield Physical Therapy Specialists, LLC","other":[],"organization_name":"SMITHFIELD PHYSICAL THERAPY SPECIALISTS, LLC","authorised_official":"Samuel Bikkers"},"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":"103 BEALE AVE","city":"SMITHFIELD","state":"VA","postal_code":"234301403","country_code":"US","phone":"5405983960"},{"purpose":"MAILING","street_1":"103 BEALE AVE","city":"SMITHFIELD","state":"VA","postal_code":"234301403","country_code":"US","phone":"5405983960"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1265941728","state":"VA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20220826002261","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"VA","pac_id":"7719361674"}]},"enumeration_date":"2022-02-04","last_updated":"2022-02-07","_meta":{"source":"NPPES","snapshot_date":"2022-02-07","doc_url":"https://findmynpi.com/api"}}