{
  "npi": "1023533825",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2026-02-23",
    "credential": "PT, DPT",
    "enumeration_date": "2017-08-14",
    "first_name": "JEREMIAH",
    "last_name": "BLASER",
    "last_updated": "2026-02-23",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
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    {
      "address_1": "1686 HENRY LUCKOW LN",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BELVIDERE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "815-547-1024",
      "postal_code": "610081705",
      "state": "IL",
      "telephone_number": "815-547-4777"
    },
    {
      "address_1": "1686 HENRY LUCKOW LN",
      "address_purpose": "LOCATION",
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      "country_code": "US",
      "country_name": "United States",
      "fax_number": "815-547-1024",
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      "state": "IL",
      "telephone_number": "815-547-4777"
    }
  ],
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    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": "TPPT570",
      "primary": false,
      "state": "FL",
      "taxonomy_group": ""
    },
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": "CP027048T",
      "primary": false,
      "state": "KY",
      "taxonomy_group": ""
    },
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": "CP027051T",
      "primary": false,
      "state": "VA",
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    {
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      "license": "CP027050T",
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      "state": "TN",
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    },
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": "CP031411T",
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      "state": "SC",
      "taxonomy_group": ""
    },
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": "070.023017",
      "primary": false,
      "state": "IL",
      "taxonomy_group": ""
    },
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": "CP027049T",
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      "state": "MO",
      "taxonomy_group": ""
    },
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": "16127-024",
      "primary": true,
      "state": "WI",
      "taxonomy_group": ""
    },
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      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": "CP042984T",
      "primary": false,
      "state": "NC",
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    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "65",
        "medicare_type": "Physical Therapist in Private Practice"
      }
    ]
  }
}