{
  "npi": "1104154269",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2020-03-16",
    "credential": "PT",
    "enumeration_date": "2009-12-01",
    "first_name": "DEREK",
    "last_name": "FLAKE",
    "last_updated": "2020-03-16",
    "middle_name": "R",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "4830 HIGHWAY 260 STE 105",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "LAKESIDE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "928-532-1227",
      "postal_code": "859295851",
      "state": "AZ",
      "telephone_number": "928-532-1221"
    },
    {
      "address_1": "PO BOX 1420",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SHOW LOW",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "928-532-1227",
      "postal_code": "859021420",
      "state": "AZ",
      "telephone_number": "928-532-1221"
    }
  ],
  "taxonomies": [
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": "8520PT",
      "primary": true,
      "state": "AZ",
      "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": "252",
    "total_services": "4442",
    "total_medicare_allowed_amt": "118440.21",
    "top_hcpcs_services": [
      {
        "code": "97110",
        "description": "Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes",
        "services": "1810",
        "beneficiaries": "214"
      },
      {
        "code": "97112",
        "description": "Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes",
        "services": "413",
        "beneficiaries": "99"
      },
      {
        "code": "97116",
        "description": "Therapy procedure for walking training, each 15 minutes",
        "services": "50",
        "beneficiaries": "46"
      },
      {
        "code": "97140",
        "description": "Therapy procedure using manual technique, each 15 minutes",
        "services": "909",
        "beneficiaries": "172"
      },
      {
        "code": "97162",
        "description": "Evaluation for physical therapy, typically 30 minutes",
        "services": "202",
        "beneficiaries": "178"
      },
      {
        "code": "97530",
        "description": "Therapy procedure using functional activities",
        "services": "955",
        "beneficiaries": "200"
      },
      {
        "code": "G0283",
        "description": "Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",
        "services": "60",
        "beneficiaries": "18"
      }
    ]
  },
  "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"
      }
    ]
  }
}