{
  "npi": "1982243978",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "CHIMERE",
    "authorized_official_last_name": "BECOTE",
    "authorized_official_telephone_number": "4108059464",
    "authorized_official_title_or_position": "Owner",
    "certification_date": "2019-12-23",
    "enumeration_date": "2019-12-23",
    "last_updated": "2019-12-23",
    "organization_name": "360 THERAPY GROUP LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2446 N CHARLES ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BALTIMORE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "410-413-6792",
      "postal_code": "212185113",
      "state": "MD",
      "telephone_number": "410-413-6786"
    },
    {
      "address_1": "2446 N CHARLES ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BALTIMORE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "410-413-6792",
      "postal_code": "212185113",
      "state": "MD",
      "telephone_number": "410-413-6786"
    }
  ],
  "taxonomies": [
    {
      "code": "224Z00000X",
      "desc": "Occupational Therapy Assistant",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "225200000X",
      "desc": "Physical Therapy Assistant",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "225X00000X",
      "desc": "Occupational Therapist",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "2355S0801X",
      "desc": "Specialist/Technologist, Speech-Language Assistant",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "235Z00000X",
      "desc": "Speech-Language Pathologist,  ",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "261Q00000X",
      "desc": "Clinic/Center",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QH0700X",
      "desc": "Clinic/Center, Hearing and Speech",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QP2000X",
      "desc": "Clinic/Center, Physical Therapy",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QX0100X",
      "desc": "Clinic/Center, Occupational Medicine",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QR0401X",
      "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
      "license": null,
      "primary": true,
      "state": null,
      "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 Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "B4[14]",
        "medicare_type": "Comprehensive Outpatient Rehabilitation Facility"
      }
    ]
  }
}