{
  "npi": "1053082123",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2026-01-06",
    "credential": "DPT",
    "enumeration_date": "2021-09-27",
    "first_name": "HAILEY",
    "last_name": "BOMAR",
    "last_updated": "2026-01-06",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "535 E MAIN ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "EVANSVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "535361177",
      "state": "WI"
    },
    {
      "address_1": "535 E MAIN ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "EVANSVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "535361177",
      "state": "WI",
      "telephone_number": "608-882-9080"
    }
  ],
  "taxonomies": [
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": null,
      "primary": true,
      "state": "WI",
      "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": {
    "total_beneficiaries": "123",
    "total_services": "4301",
    "total_medicare_allowed_amt": "113858.15",
    "top_hcpcs_services": [
      {
        "code": "97110",
        "description": "Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes",
        "services": "687",
        "beneficiaries": "90"
      },
      {
        "code": "97112",
        "description": "Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes",
        "services": "1507",
        "beneficiaries": "105"
      },
      {
        "code": "97113",
        "description": "Therapy procedure using water pool to exercises, each 15 minutes",
        "services": "107",
        "beneficiaries": "17"
      },
      {
        "code": "97140",
        "description": "Therapy procedure using manual technique, each 15 minutes",
        "services": "636",
        "beneficiaries": "89"
      },
      {
        "code": "97161",
        "description": "Evaluation for physical therapy, typically 20 minutes",
        "services": "15",
        "beneficiaries": "14"
      },
      {
        "code": "97162",
        "description": "Evaluation for physical therapy, typically 30 minutes",
        "services": "30",
        "beneficiaries": "29"
      },
      {
        "code": "97530",
        "description": "Therapy procedure using functional activities",
        "services": "1050",
        "beneficiaries": "107"
      },
      {
        "code": "97535",
        "description": "Training for self-care or home management, each 15 minutes",
        "services": "232",
        "beneficiaries": "75"
      }
    ]
  },
  "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"
      }
    ]
  }
}