{
  "npi": "1265589451",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "P.T.",
    "authorized_official_first_name": "MARVIN",
    "authorized_official_last_name": "NEAL",
    "authorized_official_middle_name": "BRUCE",
    "authorized_official_name_prefix": "Prof.",
    "authorized_official_name_suffix": "Jr.",
    "authorized_official_telephone_number": "9857487878",
    "authorized_official_title_or_position": "president",
    "enumeration_date": "2007-01-03",
    "last_updated": "2011-06-06",
    "organization_name": "AMITE PHYSICAL THERAPY INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 398",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "AMITE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "985-748-2837",
      "postal_code": "704220398",
      "state": "LA",
      "telephone_number": "985-748-7878"
    },
    {
      "address_1": "216 N 2ND ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "AMITE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "985-748-2837",
      "postal_code": "704222408",
      "state": "LA",
      "telephone_number": "985-748-7878"
    }
  ],
  "taxonomies": [
    {
      "code": "174400000X",
      "desc": "Specialist",
      "license": "140",
      "primary": true,
      "state": "LA",
      "taxonomy_group": "193200000X - Multi-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": "Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)",
    "certifying_board": "American Board of Pediatrics (ABP)",
    "cms_medicare_crosswalk": []
  }
}