{
  "npi": "1609162429",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "otr/l",
    "enumeration_date": "2011-06-20",
    "first_name": "KEVIN",
    "last_name": "BROERMANN",
    "last_updated": "2011-06-20",
    "middle_name": "P.",
    "name_prefix": "Mr.",
    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "807 CANUTE CT",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MAINEVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "450397415",
      "state": "OH",
      "telephone_number": "513-677-3040"
    },
    {
      "address_1": "10500 MONTGOMERY RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MONTGOMERY",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "452424402",
      "state": "OH",
      "telephone_number": "513-745-1114"
    }
  ],
  "taxonomies": [
    {
      "code": "225XP0019X",
      "desc": "Occupational Therapist, Physical Rehabilitation",
      "license": "4800",
      "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": "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"
      }
    ]
  }
}