{"npi":"1811908650","type":"NPI-2","status":"active","name":{"display":"Orthopedic And Sports Physical Therapy Center, INC","other":[],"organization_name":"ORTHOPEDIC AND SPORTS PHYSICAL THERAPY CENTER, INC","authorised_official":"Ricarthur Lontoc"},"specialty":{"primary_taxonomy":"261QP2000X","primary_taxonomy_description":"Physical Therapy Clinic/Center","slug":"physical-therapy-clinic-center","schema_org_specialty":null,"all":[{"code":"261QP2000X","description":"Physical Therapy Clinic/Center","primary":true,"state":"MI","license":"5501004651"}]},"addresses":[{"purpose":"LOCATION","street_1":"1850 PIPESTONE RD","city":"BENTON HARBOR","state":"MI","postal_code":"490222304","country_code":"US","street_2":"SUITE 202","phone":"2699259491","fax":"2699259553"},{"purpose":"MAILING","street_1":"PO BOX 8704","city":"BENTON HARBOR","state":"MI","postal_code":"490238704","country_code":"US","phone":"2699259491","fax":"2699259553"}],"license":{"state":"MI","number":"5501004651"},"identifiers":[{"type_code":"01","label":"Other","value":"64-30126","state":"MI","issuer":"IBA/PHP PROVIDER NUBMER"},{"type_code":"05","label":"Medicaid","value":"479640","state":"MI","issuer":null},{"type_code":"01","label":"Other","value":"305174","state":"MI","issuer":"CHP #, HEALTH PLAN MNGT"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-08-10","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}