{"npi":"1770577397","type":"NPI-1","status":"active","name":{"display":"Mr. John Medina P.T.","other":[],"first":"JOHN","last":"MEDINA","middle":"RAYMOND","credential":"P.T."},"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":"NC","license":"4787"}]},"addresses":[{"purpose":"LOCATION","street_1":"1720 W US HIGHWAY 19E","city":"BURNSVILLE","state":"NC","postal_code":"287148602","country_code":"US","phone":"8286821500","fax":"8286821505"},{"purpose":"MAILING","street_1":"PO BOX 1358","city":"BURNSVILLE","state":"NC","postal_code":"287141358","country_code":"US","phone":"8286821500","fax":"8286821505"}],"license":{"state":"NC","number":"4787"},"identifiers":[{"type_code":"01","label":"Other","value":"350866700","state":"NC","issuer":"US DEPT OF LABOR"},{"type_code":"01","label":"Other","value":"58457","state":"NC","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"05","label":"Medicaid","value":"7210872","state":"NC","issuer":null},{"type_code":"01","label":"Other","value":"65002114","state":"NC","issuer":"MEDICARE RAILROAD"},{"type_code":"01","label":"Other","value":"MEDCOST","state":"NC","issuer":"MEDCOST"},{"type_code":"01","label":"Other","value":"64-0006","state":"NC","issuer":"UNITED HEALTHCARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100119000376","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"NC","pac_id":"6709927023"}]},"enumeration_date":"2005-09-09","last_updated":"2011-04-05","_meta":{"source":"NPPES","snapshot_date":"2011-04-05","doc_url":"https://findmynpi.com/api"}}