{
  "npi": "1083847065",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "OTR",
    "enumeration_date": "2009-08-25",
    "first_name": "KIMBERLY",
    "last_name": "ABALAN",
    "last_updated": "2009-10-11",
    "middle_name": "N",
    "name_prefix": "--",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2756 CLOVER ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "OSHKOSH",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "549011566",
      "state": "WI",
      "telephone_number": "920-450-5639"
    },
    {
      "address_1": "3305 N BALLARD RD STE C",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "APPLETON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "549119001",
      "state": "WI",
      "telephone_number": "920-735-9234"
    }
  ],
  "taxonomies": [
    {
      "code": "225X00000X",
      "desc": "Occupational Therapist",
      "license": "4722-26",
      "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": null,
  "enrichment": {
    "plain_english_specialty": "Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)",
    "certifying_board": "National Board for Certification in Occupational Therapy (NBCOT)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "67",
        "medicare_type": "Occupational Therapist in Private Practice"
      }
    ]
  }
}