{
  "npi": "1023830841",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2024-10-31",
    "enumeration_date": "2024-10-31",
    "first_name": "MATTHEW",
    "last_name": "BEACH",
    "last_updated": "2024-10-31",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1300 HOBBLE CREEK DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SPRINGVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "846632854",
      "state": "UT",
      "telephone_number": "801-703-7536"
    },
    {
      "address_1": "1787 E FORT UNION BLVD STE 101",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "COTTONWOOD HEIGHTS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "841212868",
      "state": "UT",
      "telephone_number": "385-526-3945"
    }
  ],
  "taxonomies": [
    {
      "code": "225700000X",
      "desc": "Massage Therapist",
      "license": "8052147-4701",
      "primary": false,
      "state": "UT",
      "taxonomy_group": ""
    },
    {
      "code": "225200000X",
      "desc": "Physical Therapy Assistant",
      "license": "8052147-2402",
      "primary": true,
      "state": "UT",
      "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": []
  }
}