{"npi":"1992764492","type":"NPI-2","status":"active","name":{"display":"Executive Rehabilitation & Sports Therapy, Inc.","other":[],"organization_name":"EXECUTIVE REHABILITATION & SPORTS THERAPY, INC.","authorised_official":"John Sargeant"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"MD","license":"14262"}]},"addresses":[{"purpose":"LOCATION","street_1":"6000 EXECUTIVE BLVD","city":"ROCKVILLE","state":"MD","postal_code":"208523803","country_code":"US","street_2":"SUITE #201","phone":"3018160020","fax":"3018160334"},{"purpose":"MAILING","street_1":"6000 EXECUTIVE BLVD","city":"ROCKVILLE","state":"MD","postal_code":"208523803","country_code":"US","street_2":"SUITE #201","phone":"3018160020","fax":"3018160334"}],"license":{"state":"MD","number":"14262"},"identifiers":[{"type_code":"01","label":"Other","value":"K366","state":"MD","issuer":"BCBS/ NON PAR"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-03-22","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}