{"npi":"1831644293","type":"NPI-2","status":"active","name":{"display":"Optimal Performance Physical Therapy","other":[],"organization_name":"OPTIMAL PERFORMANCE PHYSICAL THERAPY","authorised_official":"Sara Norval"},"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":"MS","license":"PT4130"}]},"addresses":[{"purpose":"LOCATION","street_1":"204 N 15TH AVE","city":"LAUREL","state":"MS","postal_code":"39440","country_code":"US","phone":"6013422344"},{"purpose":"MAILING","street_1":"PO BOX 2414","city":"LAUREL","state":"MS","postal_code":"394422414","country_code":"US","phone":"6013422344"}],"license":{"state":"MS","number":"PT4130"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20170522000298","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"MS","pac_id":"8022385145"}]},"enumeration_date":"2016-08-15","last_updated":"2018-07-05","_meta":{"source":"NPPES","snapshot_date":"2018-07-05","doc_url":"https://findmynpi.com/api"}}