{
  "npi": "1780639658",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "RICHARD",
    "authorized_official_last_name": "LEAVER",
    "authorized_official_telephone_number": "6163565000",
    "authorized_official_title_or_position": "Authorize Official/ CEO",
    "certification_date": "2026-02-12",
    "enumeration_date": "2006-05-22",
    "last_updated": "2026-02-12",
    "organization_name": "ADVENT REHABILITATION, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "625 KENMOOR AVE SE STE 100",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GRAND RAPIDS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "616-356-5001",
      "postal_code": "495462395",
      "state": "MI",
      "telephone_number": "616-356-5000"
    },
    {
      "address_1": "150 JEFFERSON AVE SE",
      "address_2": "SUITE 100",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "GRAND RAPIDS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "616-301-1320",
      "postal_code": "495034306",
      "state": "MI",
      "telephone_number": "616-284-3690"
    }
  ],
  "taxonomies": [
    {
      "code": "261QR0400X",
      "desc": "Clinic/Center, Rehabilitation",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "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": "Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "65",
        "medicare_type": "Physical Therapist in Private Practice"
      }
    ]
  }
}