{"npi":"1780813618","type":"NPI-2","status":"active","name":{"display":"Pro Impact Physical Therapy And Sports Performance, LLC","other":[],"organization_name":"PRO IMPACT PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC","authorised_official":"Charles Ellis"},"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":"AL","license":"PTH1388"}]},"addresses":[{"purpose":"LOCATION","street_1":"2000 BERRY CHASE PL","city":"MONTGOMERY","state":"AL","postal_code":"361176896","country_code":"US","phone":"3343566453"},{"purpose":"MAILING","street_1":"PO BOX 242903","city":"MONTGOMERY","state":"AL","postal_code":"361242903","country_code":"US","phone":"3343566453"}],"license":{"state":"AL","number":"PTH1388"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090930000136","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AL","pac_id":"2668518986"}]},"enumeration_date":"2009-07-13","last_updated":"2022-04-04","_meta":{"source":"NPPES","snapshot_date":"2022-04-04","doc_url":"https://findmynpi.com/api"}}