{"npi":"1881044667","type":"NPI-1","status":"active","name":{"display":"Timothy Broadbent Pt","other":[],"first":"TIMOTHY","last":"BROADBENT","middle":"C","credential":"PT"},"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":"TN","license":"10835"}]},"addresses":[{"purpose":"LOCATION","street_1":"961 OAK RIDGE TPKE","city":"OAK RIDGE","state":"TN","postal_code":"378308832","country_code":"US","phone":"8654831906","fax":"8654833807"},{"purpose":"MAILING","street_1":"PO BOX 306556","city":"NASHVILLE","state":"TN","postal_code":"372306556","country_code":"US","phone":"8656940062","fax":"8656947907"}],"license":{"state":"TN","number":"10835"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"Q022499","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160726000033","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"TN","pac_id":"9830482074"}]},"enumeration_date":"2016-06-13","last_updated":"2023-10-13","_meta":{"source":"NPPES","snapshot_date":"2023-10-13","doc_url":"https://findmynpi.com/api"}}