{
  "npi": "1528280450",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "PT",
    "enumeration_date": "2007-05-02",
    "first_name": "LAURA",
    "last_name": "GROGG",
    "last_updated": "2007-07-08",
    "middle_name": "MARIE",
    "name_prefix": "Mrs.",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "835 SOUTH MAIN STREET",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "DELPHOS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "458332329",
      "state": "OH",
      "telephone_number": "419-692-3713"
    },
    {
      "address_1": "4392 STATE ROUTE 235",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ADA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "419-238-3612",
      "postal_code": "458109503",
      "state": "OH",
      "telephone_number": "419-634-8655"
    }
  ],
  "taxonomies": [
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": "PT 008586",
      "primary": true,
      "state": "OH",
      "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 & 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"
      }
    ]
  }
}