{
  "npi": "1720161581",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "PT",
    "authorized_official_first_name": "CORNELIUS",
    "authorized_official_last_name": "DONNELLY",
    "authorized_official_middle_name": "J.",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "6035395351",
    "authorized_official_title_or_position": "Owner",
    "enumeration_date": "2006-10-23",
    "last_updated": "2020-08-22",
    "organization_name": "INTEGRATED REHABILITATION SERVICES, INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 297",
      "address_2": "1230 RTE. 16",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "OSSIPEE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "603-539-3531",
      "postal_code": "038640297",
      "state": "NH",
      "telephone_number": "603-539-5351"
    },
    {
      "address_1": "1230 ROUTE 16",
      "address_2": "HODSDON FARM BUILDING",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "OSSIPEE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "603-539-3531",
      "postal_code": "03864",
      "state": "NH",
      "telephone_number": "603-539-5351"
    }
  ],
  "taxonomies": [
    {
      "code": "174400000X",
      "desc": "Specialist",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Single Specialty 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 Pediatrician (Infant, Child & Adolescent Medicine)",
    "certifying_board": "American Board of Pediatrics (ABP)",
    "cms_medicare_crosswalk": []
  }
}