{"npi":"1831963578","type":"NPI-1","status":"active","name":{"display":"Kaylyn Vaillancourt Pt, Dpt","other":[],"first":"KAYLYN","last":"VAILLANCOURT","credential":"PT, DPT"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"225100000X","description":"Physical Therapist","primary":false,"state":"SC","license":"12778"},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"NC","license":"P22702"},{"code":"208100000X","description":"Physical Medicine & Rehabilitation","primary":false,"state":"NY","license":"050983-01"}]},"addresses":[{"purpose":"LOCATION","street_1":"2756 RICHLANDS HWY","city":"JACKSONVILLE","state":"NC","postal_code":"285403611","country_code":"US","phone":"9103780147"},{"purpose":"MAILING","street_1":"625 KENMOOR AVE SE STE 100","city":"GRAND RAPIDS","state":"MI","postal_code":"495462395","country_code":"US"}],"license":{"state":"NC","number":"P22702"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250324001733","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"SC","pac_id":"7618499252"},{"enrlmt_id":"I20251202001500","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"NC","pac_id":"7618499252"}]},"enumeration_date":"2023-11-13","last_updated":"2025-11-03","_meta":{"source":"NPPES","snapshot_date":"2025-11-03","doc_url":"https://findmynpi.com/api"}}