{"npi":"1972934529","type":"NPI-2","status":"active","name":{"display":"Boston Sports Medicine And Research Institute LLC","other":[],"organization_name":"BOSTON SPORTS MEDICINE AND RESEARCH INSTITUTE LLC","authorised_official":"Tom Gill"},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":"MA","license":"152013"}]},"addresses":[{"purpose":"LOCATION","street_1":"40 ALLIED DR","city":"DEDHAM","state":"MA","postal_code":"020266146","country_code":"US","phone":"6172641100","fax":"6172641101"},{"purpose":"MAILING","street_1":"40 ALLIED DR","city":"DEDHAM","state":"MA","postal_code":"020266146","country_code":"US","phone":"6172641100","fax":"6172641101"}],"license":{"state":"MA","number":"152013"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"11060187/A","state":"MA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20140620000359","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MA","pac_id":"6305060013"}]},"enumeration_date":"2013-12-09","last_updated":"2015-05-20","_meta":{"source":"NPPES","snapshot_date":"2015-05-20","doc_url":"https://findmynpi.com/api"}}