{
  "npi": "1184156853",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "DPT",
    "enumeration_date": "2017-03-31",
    "first_name": "TRAVIS",
    "last_name": "BENIAK",
    "last_updated": "2019-04-24",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "13060 ISLE DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BAXTER",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "564258331",
      "state": "MN",
      "telephone_number": "218-828-2880"
    },
    {
      "address_1": "1702 UNIVERSITY DR S",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "FARGO",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "581034940",
      "state": "ND"
    }
  ],
  "taxonomies": [
    {
      "code": "2251C2600X",
      "desc": null,
      "license": "10417",
      "primary": false,
      "state": "MN",
      "taxonomy_group": ""
    },
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": "10417",
      "primary": true,
      "state": "MN",
      "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": "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"
      }
    ]
  }
}