{"npi":"1053545475","type":"NPI-1","status":"active","name":{"display":"Mary Ellen Broersma Pt","other":[],"first":"MARY ELLEN","last":"BROERSMA","credential":"PT"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"WA","license":"PTG0083544"}]},"addresses":[{"purpose":"LOCATION","street_1":"509 OLIVE WAY","city":"SEATTLE","state":"WA","postal_code":"981011720","country_code":"US","street_2":"STE. 1011","phone":"2066234570","fax":"2066234574"},{"purpose":"MAILING","street_1":"16083 SW UPPER BOONES FERRY RD","city":"TIGARD","state":"OR","postal_code":"972247736","country_code":"US","street_2":"SUITE 300","phone":"8002198835","fax":"5036399699"}],"license":{"state":"WA","number":"PTG0083544"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1053545475","state":"WA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2009-05-13","last_updated":"2014-02-04","_meta":{"source":"NPPES","snapshot_date":"2014-02-04","doc_url":"https://findmynpi.com/api"}}