{
  "npi": "1629925326",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2026-03-27",
    "enumeration_date": "2026-03-12",
    "first_name": "KOLBY",
    "last_name": "ENGEL",
    "last_updated": "2026-03-27",
    "middle_name": "DALLAS",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2122 YORK RD STE 300",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "OAK BROOK",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "605231925",
      "state": "IL",
      "telephone_number": "570-550-0168"
    },
    {
      "address_1": "790 W KING ST STE 1",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "LITTLESTOWN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "717-359-1929",
      "postal_code": "173401457",
      "state": "PA",
      "telephone_number": "717-359-1928"
    }
  ],
  "taxonomies": [
    {
      "code": "225X00000X",
      "desc": "Occupational Therapist",
      "license": "OC021418",
      "primary": true,
      "state": "PA",
      "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"
      }
    ]
  }
}