{"npi":"1861173239","type":"NPI-1","status":"active","name":{"display":"Mr. Mitchell Powell Dpt","other":[],"first":"MITCHELL","last":"POWELL","middle":"VINCENT","credential":"DPT"},"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":"MO","license":"2023028516"}]},"addresses":[{"purpose":"LOCATION","street_1":"4240 DUNCAN AVE","city":"SAINT LOUIS","state":"MO","postal_code":"631101101","country_code":"US","street_2":"DEPT PHYSICAL THERAPY, STE 120","phone":"3142861940","fax":"3142861473"},{"purpose":"MAILING","street_1":"PO BOX 7412011","city":"CHICAGO","state":"IL","postal_code":"606742011","country_code":"US","phone":"3142861940","fax":"3142861473"}],"license":{"state":"MO","number":"2023028516"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"480129084","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230906000486","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"MO","pac_id":"7315300563"}]},"enumeration_date":"2023-07-28","last_updated":"2025-04-17","_meta":{"source":"NPPES","snapshot_date":"2025-04-17","doc_url":"https://findmynpi.com/api"}}