{"npi":"1932242542","type":"NPI-1","status":"active","name":{"display":"Dr. Tristan Shockley MD","other":[],"first":"TRISTAN","last":"SHOCKLEY","middle":"J","credential":"MD"},"specialty":{"primary_taxonomy":"208100000X","primary_taxonomy_description":"Physical Medicine & Rehabilitation","slug":"physical-medicine-rehabilitation","schema_org_specialty":"Musculoskeletal","all":[{"code":"208100000X","description":"Physical Medicine & Rehabilitation","primary":false,"state":"DC","license":"MD038330"},{"code":"208100000X","description":"Physical Medicine & Rehabilitation","primary":true,"state":"MD","license":"D0068884"}]},"addresses":[{"purpose":"LOCATION","street_1":"14205 PARK CENTER DR","city":"LAUREL","state":"MD","postal_code":"207075246","country_code":"US","street_2":"SUITE 204","phone":"2407861001"},{"purpose":"MAILING","street_1":"9900 GREENBELT RD","city":"LANHAM","state":"MD","postal_code":"207062255","country_code":"US","street_2":"SUITE E117","phone":"2407861001"}],"license":{"state":"MD","number":"D0068884"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090731000025","type_code":"14-25","type_desc":"PRACTITIONER - PHYSICAL MEDICINE AND REHABILITATION","state":"DC","pac_id":"3678626165"},{"enrlmt_id":"I20161101000394","type_code":"14-25","type_desc":"PRACTITIONER - PHYSICAL MEDICINE AND REHABILITATION","state":"MD","pac_id":"3678626165"},{"enrlmt_id":"I20220926003322","type_code":"14-25","type_desc":"PRACTITIONER - PHYSICAL MEDICINE AND REHABILITATION","state":"DE","pac_id":"3678626165"},{"enrlmt_id":"I20250414000782","type_code":"14-25","type_desc":"PRACTITIONER - PHYSICAL MEDICINE AND REHABILITATION","state":"FL","pac_id":"3678626165"}]},"enumeration_date":"2007-02-14","last_updated":"2021-06-30","_meta":{"source":"NPPES","snapshot_date":"2021-06-30","doc_url":"https://findmynpi.com/api"}}