{
  "npi": "1497831556",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "ERIC",
    "authorized_official_last_name": "DOUGLASS",
    "authorized_official_middle_name": "ELDON",
    "authorized_official_telephone_number": "2399474184",
    "authorized_official_title_or_position": "Chief Clinical Officer",
    "certification_date": "2025-08-20",
    "enumeration_date": "2006-10-31",
    "last_updated": "2025-08-20",
    "organization_name": "ACTION POTENTIAL LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "6119 DELTONA BLVD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SPRING HILL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "352-585-3055",
      "postal_code": "346061011",
      "state": "FL",
      "telephone_number": "352-592-9559"
    },
    {
      "address_1": "PO BOX 632657",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CINCINNATI",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "702-818-5001",
      "postal_code": "452632657",
      "state": "OH",
      "telephone_number": "702-818-5000"
    }
  ],
  "taxonomies": [
    {
      "code": "261QP2000X",
      "desc": "Clinic/Center, Physical Therapy",
      "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": "70",
        "medicare_type": "Clinic or Group Practice"
      }
    ]
  }
}