{
  "npi": "1346302536",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "PT",
    "enumeration_date": "2006-12-14",
    "first_name": "LURON",
    "last_name": "ANDERSON",
    "last_updated": "2007-10-03",
    "name_prefix": "--",
    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "343 WELLSIAN WAY",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "RICHLAND",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "509-946-8247",
      "postal_code": "993524116",
      "state": "WA",
      "telephone_number": "509-946-9191"
    },
    {
      "address_1": "824 W LEWIS ST STE 204",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PASCO",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "509-544-0304",
      "postal_code": "993015561",
      "state": "WA",
      "telephone_number": "509-544-0265"
    }
  ],
  "taxonomies": [
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": "PT00009869",
      "primary": true,
      "state": "WA",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": true,
      "status": "EXCLUDED",
      "matches": [
        {
          "name": "LURON ANDERSON",
          "npi": "1346302536",
          "specialty": "PHYSICAL THERAPY",
          "city": "AIRWAY HEIGHTS",
          "state": "WA",
          "excl_type": "1128a2",
          "excl_date": "2023-01-19",
          "statute_desc": "Sec. 1128(a)(2) — Conviction Relating to Patient Abuse or Neglect"
        }
      ],
      "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"
      }
    ]
  }
}