{"npi":"1922567809","type":"NPI-2","status":"active","name":{"display":"Movement Synergy Physical Therapy, LLC","other":[],"organization_name":"MOVEMENT SYNERGY PHYSICAL THERAPY, LLC","authorised_official":"Charles Randa"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"2251S0007X","description":"Sports Physical Therapist","primary":false,"state":null,"license":null},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2000 N RACINE AVE STE 1000B","city":"CHICAGO","state":"IL","postal_code":"606147011","country_code":"US","phone":"6306646298","fax":"3122531408"},{"purpose":"MAILING","street_1":"1746 W HURON ST APT 3E","city":"CHICAGO","state":"IL","postal_code":"606225631","country_code":"US","phone":"6306646298","fax":"3122531408"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20190916000042","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"0345579488"}]},"enumeration_date":"2019-03-19","last_updated":"2021-12-02","_meta":{"source":"NPPES","snapshot_date":"2021-12-02","doc_url":"https://findmynpi.com/api"}}