{
  "npi": "1710210729",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "PTA",
    "enumeration_date": "2009-09-09",
    "first_name": "TRUDI",
    "last_name": "TUCKER",
    "last_updated": "2009-09-09",
    "middle_name": "RENEE",
    "name_prefix": "--",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "67 FANNIN DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "TULIA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "806-994-9090",
      "postal_code": "790881405",
      "state": "TX",
      "telephone_number": "806-994-0182"
    },
    {
      "address_1": "67 FANNIN DR.",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "TULIA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "806-994-9090",
      "postal_code": "79088",
      "state": "TX",
      "telephone_number": "806-994-0182"
    }
  ],
  "taxonomies": [
    {
      "code": "225200000X",
      "desc": "Physical Therapy Assistant",
      "license": "2040574",
      "primary": true,
      "state": "TX",
      "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 Physical Therapy Assistant",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}