{"npi":"1770959074","type":"NPI-1","status":"active","name":{"display":"Matvey Immerman","other":[],"first":"MATVEY","last":"IMMERMAN"},"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":"MD","license":"25650"}]},"addresses":[{"purpose":"LOCATION","street_1":"10215 FERNWOOD RD STE 506","city":"BETHESDA","state":"MD","postal_code":"208171184","country_code":"US","phone":"3015301010","fax":"3018978597"},{"purpose":"MAILING","street_1":"10215 FERNWOOD RD STE 506","city":"BETHESDA","state":"MD","postal_code":"208171184","country_code":"US","phone":"3015301010","fax":"3018978597"}],"license":{"state":"MD","number":"25650"},"identifiers":[{"type_code":"01","label":"Other","value":"25650","state":"MD","issuer":"PHYSICAL THERAPIST LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170213000074","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"DC","pac_id":"7113235094"}]},"enumeration_date":"2015-08-20","last_updated":"2020-07-31","_meta":{"source":"NPPES","snapshot_date":"2020-07-31","doc_url":"https://findmynpi.com/api"}}