{
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  "enumeration_type": "NPI-2",
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    "authorized_official_last_name": "PARENT",
    "authorized_official_telephone_number": "4104015120",
    "authorized_official_title_or_position": "Sr Vice President of Revenue Cycle",
    "certification_date": "2021-10-04",
    "enumeration_date": "2021-10-04",
    "last_updated": "2021-10-04",
    "organization_name": "ACTIVCARE PHYSICAL THERAPY, LLC",
    "organizational_subpart": "NO",
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    {
      "address_1": "350 NEW FIDELITY CT",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GARNER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "410-648-4878",
      "postal_code": "275292665",
      "state": "NC",
      "telephone_number": "919-258-2714"
    },
    {
      "address_1": "11009 INGLESIDE PLACE",
      "address_2": "SUITE 102",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
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      "country_code": "US",
      "country_name": "United States",
      "fax_number": "919-752-5946",
      "postal_code": "27614",
      "state": "NC",
      "telephone_number": "919-752-5943"
    }
  ],
  "taxonomies": [
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    },
    {
      "code": "225X00000X",
      "desc": "Occupational Therapist",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Multiple Single 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 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"
      }
    ]
  }
}