{"npi":"1962696542","type":"NPI-2","status":"active","name":{"display":"Spine, Sports Medicine And Pain Management, LLC","other":[],"organization_name":"SPINE, SPORTS MEDICINE AND PAIN MANAGEMENT, LLC","authorised_official":"Joan Luo"},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":"MD","license":"2081P2900X"}]},"addresses":[{"purpose":"LOCATION","street_1":"8943 SHADY GROVE CT","city":"GAITHERSBURG","state":"MD","postal_code":"208771308","country_code":"US","phone":"3019878988"},{"purpose":"MAILING","street_1":"8943 SHADY GROVE CT","city":"GAITHERSBURG","state":"MD","postal_code":"208771308","country_code":"US"}],"license":{"state":"MD","number":"2081P2900X"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040922000717","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"DC","pac_id":"6800864398"}]},"enumeration_date":"2007-08-28","last_updated":"2007-08-28","_meta":{"source":"NPPES","snapshot_date":"2007-08-28","doc_url":"https://findmynpi.com/api"}}