{
  "npi": "1124483243",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "P.T.",
    "authorized_official_first_name": "JENNIFER",
    "authorized_official_last_name": "GONZALES",
    "authorized_official_middle_name": "LAZARO",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "4106039237",
    "authorized_official_title_or_position": "Manager",
    "enumeration_date": "2015-12-16",
    "last_updated": "2016-09-16",
    "organization_name": "ACL PHYSICAL THERAPY AND REHABILITATION INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "701 E NAYLOR MILL RD UNIT F",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SALISBURY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "443-210-2473",
      "postal_code": "218042308",
      "state": "MD",
      "telephone_number": "757-710-2240"
    },
    {
      "address_1": "701 E NAYLOR MILL RD UNIT F",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SALISBURY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "443-210-2473",
      "postal_code": "218042308",
      "state": "MD",
      "telephone_number": "443-944-0037"
    }
  ],
  "taxonomies": [
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "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": "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"
      }
    ]
  }
}