{
  "npi": "1720255201",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "OTR",
    "enumeration_date": "2008-05-13",
    "first_name": "JEREMY",
    "last_name": "DOMINA",
    "last_updated": "2008-05-13",
    "middle_name": "C",
    "name_prefix": "Mr.",
    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "227 OLD ROUTE 15",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CAMBRIDGE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "054449772",
      "state": "VT",
      "telephone_number": "802-310-1511"
    },
    {
      "address_1": "49 LYME RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "HANOVER",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "037551205",
      "state": "NH",
      "telephone_number": "603-643-2854"
    }
  ],
  "taxonomies": [
    {
      "code": "225X00000X",
      "desc": "Occupational Therapist",
      "license": "1702",
      "primary": true,
      "state": "NH",
      "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": {
    "total_beneficiaries": "31",
    "total_services": "630",
    "total_medicare_allowed_amt": "21185.8",
    "top_hcpcs_services": [
      {
        "code": "97110",
        "description": "Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes",
        "services": "125",
        "beneficiaries": "29"
      },
      {
        "code": "97112",
        "description": "Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes",
        "services": "95",
        "beneficiaries": "22"
      },
      {
        "code": "97140",
        "description": "Therapy procedure using manual technique, each 15 minutes",
        "services": "77",
        "beneficiaries": "20"
      },
      {
        "code": "97165",
        "description": "Evaluation for occupational therapy, typically 30 minutes",
        "services": "28",
        "beneficiaries": "27"
      },
      {
        "code": "97530",
        "description": "Therapy procedure using functional activities",
        "services": "183",
        "beneficiaries": "31"
      },
      {
        "code": "98975",
        "description": "Set-up and patient education for remote monitoring of therapy",
        "services": "20",
        "beneficiaries": "20"
      },
      {
        "code": "98977",
        "description": "Device supply with scheduled recording and transmission for remote monitoring of musculoskeletal system, per 30 days",
        "services": "23",
        "beneficiaries": "21"
      },
      {
        "code": "98980",
        "description": "Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month",
        "services": "27",
        "beneficiaries": "22"
      }
    ]
  },
  "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"
      }
    ]
  }
}