{
  "npi": "1255304291",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2020-02-05",
    "credential": "PT, CSCS",
    "enumeration_date": "2006-02-09",
    "first_name": "MARK",
    "last_name": "BALDWIN",
    "last_updated": "2020-02-05",
    "middle_name": "CAMPBELL",
    "name_prefix": "Mr.",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "7 ALFRED ST",
      "address_2": "STE 110",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WOBURN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "018011900",
      "state": "MA",
      "telephone_number": "508-596-8605"
    },
    {
      "address_1": "83 GREENWOOD ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WAKEFIELD",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "018804034",
      "state": "MA",
      "telephone_number": "508-596-8605"
    }
  ],
  "taxonomies": [
    {
      "code": "2251S0007X",
      "desc": "Physical Therapist, Sports",
      "license": "11321",
      "primary": true,
      "state": "MA",
      "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": "41",
    "total_services": "859",
    "total_medicare_allowed_amt": "27123.48",
    "top_hcpcs_services": [
      {
        "code": "97110",
        "description": "Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes",
        "services": "218",
        "beneficiaries": "38"
      },
      {
        "code": "97112",
        "description": "Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes",
        "services": "179",
        "beneficiaries": "37"
      },
      {
        "code": "97140",
        "description": "Therapy procedure using manual technique, each 15 minutes",
        "services": "207",
        "beneficiaries": "39"
      },
      {
        "code": "97161",
        "description": "Evaluation for physical therapy, typically 20 minutes",
        "services": "25",
        "beneficiaries": "23"
      },
      {
        "code": "97164",
        "description": "Re-evaluation for physical therapy, typically 20 minutes",
        "services": "38",
        "beneficiaries": "21"
      },
      {
        "code": "97530",
        "description": "Therapy procedure using functional activities",
        "services": "189",
        "beneficiaries": "41"
      }
    ]
  },
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Respiratory, Rehabilitative & Restorative Service Providers — Physical Therapist, Sports",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "65",
        "medicare_type": "Physical Therapist in Private Practice"
      }
    ]
  }
}