{
  "npi": "1073073375",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "KRISTI",
    "authorized_official_last_name": "OATES",
    "authorized_official_telephone_number": "4012730641",
    "authorized_official_title_or_position": "Supervisor, Professional Rev Cycle",
    "certification_date": "2020-08-27",
    "enumeration_date": "2019-03-22",
    "last_updated": "2020-08-31",
    "organization_name": "AFFINITY PHYSICIANS LLC.",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "KENT COUNTY MEMORIAL HOSPITAL",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "588 PAWTUCKET AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PAWTUCKET",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "028606057",
      "state": "RI",
      "telephone_number": "401-921-6263"
    },
    {
      "address_1": "455 TOLL GATE RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WARWICK",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "401-273-2919",
      "postal_code": "028862759",
      "state": "RI",
      "telephone_number": "401-273-0641"
    }
  ],
  "taxonomies": [
    {
      "code": "225X00000X",
      "desc": "Occupational Therapist",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty 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 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"
      }
    ]
  }
}