{
  "npi": "1295717726",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "DC",
    "authorized_official_first_name": "HOLLY",
    "authorized_official_last_name": "MORIARTY",
    "authorized_official_middle_name": "D",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "7036757179",
    "authorized_official_title_or_position": "owner",
    "certification_date": "2020-06-16",
    "enumeration_date": "2005-11-18",
    "last_updated": "2020-06-16",
    "organization_name": "ADVANCED PT AND REHABILITATION INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "14535 JOHN MARSHALL HIGHWAY",
      "address_2": "SUITE 102",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "GAINESVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "703-753-9709",
      "postal_code": "20155",
      "state": "VA",
      "telephone_number": "703-753-0974"
    },
    {
      "address_1": "14535 JOHN MARSHALL HWY STE 104",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GAINESVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "703-753-9709",
      "postal_code": "201554024",
      "state": "VA",
      "telephone_number": "703-753-0974"
    }
  ],
  "taxonomies": [
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": "2305202666",
      "primary": false,
      "state": "VA",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "225X00000X",
      "desc": "Occupational Therapist",
      "license": "0119003997",
      "primary": false,
      "state": "VA",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": "2305004656",
      "primary": true,
      "state": "VA",
      "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": "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"
      }
    ]
  }
}