{
  "npi": "1073646980",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "PT",
    "authorized_official_first_name": "TRESHA",
    "authorized_official_last_name": "BALDWIN",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "4808211997",
    "authorized_official_title_or_position": "Owner, PT",
    "enumeration_date": "2007-03-13",
    "last_updated": "2014-08-04",
    "organization_name": "360 PHYSICAL THERAPY LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "4210 E BASELINE RD",
      "address_2": "STE 106",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MESA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "480-782-5213",
      "postal_code": "852064417",
      "state": "AZ",
      "telephone_number": "480-503-2373"
    },
    {
      "address_1": "4210 E BASELINE RD",
      "address_2": "STE 106",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MESA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "480-782-5213",
      "postal_code": "852064417",
      "state": "AZ",
      "telephone_number": "480-503-2373"
    }
  ],
  "taxonomies": [
    {
      "code": "174400000X",
      "desc": "Specialist",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Single 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": "Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)",
    "certifying_board": "American Board of Pediatrics (ABP)",
    "cms_medicare_crosswalk": []
  }
}