{
  "npi": "1184788663",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2026-03-30",
    "credential": "PT",
    "enumeration_date": "2006-12-20",
    "first_name": "CONSTANTINE",
    "last_name": "BOLOS",
    "last_updated": "2026-03-30",
    "middle_name": "P",
    "name_prefix": "Mr.",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "711 S VERMONT ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PALATINE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "847-960-4985",
      "postal_code": "600677138",
      "state": "IL",
      "telephone_number": "847-323-7001"
    },
    {
      "address_1": "711 S VERMONT ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PALATINE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "847-960-4985",
      "postal_code": "600677138",
      "state": "IL",
      "telephone_number": "847-323-7001"
    }
  ],
  "taxonomies": [
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": "070011648",
      "primary": true,
      "state": "IL",
      "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": "53",
    "total_services": "2690",
    "total_medicare_allowed_amt": "65300.61",
    "top_hcpcs_services": [
      {
        "code": "97110",
        "description": "Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes",
        "services": "1974",
        "beneficiaries": "53"
      },
      {
        "code": "97112",
        "description": "Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes",
        "services": "368",
        "beneficiaries": "33"
      },
      {
        "code": "97140",
        "description": "Therapy procedure using manual technique, each 15 minutes",
        "services": "302",
        "beneficiaries": "40"
      },
      {
        "code": "97162",
        "description": "Evaluation for physical therapy, typically 30 minutes",
        "services": "46",
        "beneficiaries": "40"
      }
    ]
  },
  "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"
      }
    ]
  }
}