{"npi":"1962931865","type":"NPI-1","status":"active","name":{"display":"Shana Radomski Mpt, DO","other":[],"first":"SHANA","last":"RADOMSKI","middle":"LYNN","credential":"MPT, DO"},"specialty":{"primary_taxonomy":"2084N0400X","primary_taxonomy_description":"Neurology","slug":"neurology","schema_org_specialty":"Neurologic","all":[{"code":"2084N0400X","description":"Neurology","primary":false,"state":"NC","license":"2022-02097"},{"code":"2084N0400X","description":"Neurology","primary":true,"state":"MI","license":"5101023264"}]},"addresses":[{"purpose":"LOCATION","street_1":"5900 BYRON CENTER AVE SW","city":"WYOMING","state":"MI","postal_code":"495199606","country_code":"US","phone":"6162525790"},{"purpose":"MAILING","street_1":"1091 BIELBY ST","city":"WATERFORD","state":"MI","postal_code":"483281301","country_code":"US"}],"license":{"state":"MI","number":"5101023264"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220929000815","type_code":"14-13","type_desc":"PRACTITIONER - NEUROLOGY","state":"MI","pac_id":"0840676805"},{"enrlmt_id":"I20230126000233","type_code":"14-13","type_desc":"PRACTITIONER - NEUROLOGY","state":"NC","pac_id":"0840676805"}]},"enumeration_date":"2017-06-06","last_updated":"2024-04-25","_meta":{"source":"NPPES","snapshot_date":"2024-04-25","doc_url":"https://findmynpi.com/api"}}