{
  "npi": "1023591963",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "PTA",
    "enumeration_date": "2018-09-06",
    "first_name": "DEMI",
    "last_name": "WOOD",
    "last_updated": "2018-09-06",
    "middle_name": "BROOKE",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "407 HICKORY AVE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "HUBBARD",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "766482223",
      "state": "TX",
      "telephone_number": "254-723-5027"
    },
    {
      "address_1": "2320 LAKE SHORE DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WACO",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "767081276",
      "state": "TX",
      "telephone_number": "254-752-1075"
    }
  ],
  "taxonomies": [
    {
      "code": "225200000X",
      "desc": "Physical Therapy Assistant",
      "license": "2130621",
      "primary": true,
      "state": "TX",
      "taxonomy_group": ""
    }
  ],
  "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 Physical Therapy Assistant",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}