{
  "npi": "1295997393",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "DEBBIE",
    "authorized_official_last_name": "BAXTER",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "8644820064",
    "authorized_official_title_or_position": "Credentialing Coordinator",
    "enumeration_date": "2008-06-30",
    "last_updated": "2012-11-29",
    "organization_name": "ANDERSON PHYSICAL THERAPY CLINIC, INC.",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "ANDERSON PHYSICAL THERAPY CLINIC, INC.",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 1844",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CLEMSON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "864-482-0081",
      "postal_code": "296331844",
      "state": "SC",
      "telephone_number": "864-482-0064"
    },
    {
      "address_1": "100 HEALTHY WAY",
      "address_2": "SUITE 1110",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ANDERSON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "864-261-6617",
      "postal_code": "296217915",
      "state": "SC",
      "telephone_number": "864-261-3099"
    }
  ],
  "taxonomies": [
    {
      "code": "261QR0400X",
      "desc": "Clinic/Center, Rehabilitation",
      "license": null,
      "primary": true,
      "state": null,
      "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": "Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "B4[14]",
        "medicare_type": "Rehabilitation Agency"
      },
      {
        "medicare_code": "B4[14]",
        "medicare_type": "Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services"
      }
    ]
  }
}