{
  "npi": "1285937151",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2022-12-21",
    "credential": "OT",
    "enumeration_date": "2010-12-14",
    "first_name": "JAMES",
    "last_name": "MERRICK",
    "last_updated": "2022-12-21",
    "middle_name": "L",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
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    {
      "address_1": "113 4TH AVENUE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SHELL LAKE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "715-468-7839",
      "postal_code": "54871",
      "state": "WI",
      "telephone_number": "715-468-7833"
    },
    {
      "address_1": "113 4TH AVENUE",
      "address_purpose": "MAILING",
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      "city": "SHELL LAKE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "715-468-7839",
      "postal_code": "54871",
      "state": "WI",
      "telephone_number": "715-468-7833"
    }
  ],
  "taxonomies": [
    {
      "code": "225X00000X",
      "desc": "Occupational Therapist",
      "license": "4048-26",
      "primary": true,
      "state": "WI",
      "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": "Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)",
    "certifying_board": "National Board for Certification in Occupational Therapy (NBCOT)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "67",
        "medicare_type": "Occupational Therapist in Private Practice"
      }
    ]
  }
}