{"npi":"1073005153","type":"NPI-1","status":"active","name":{"display":"Jacey Mroczenski Dpt","other":[{"code":"1","type":"Formerly known as","value":"GEORGIA, JACEY J"}],"first":"JACEY","last":"MROCZENSKI","middle":"J","credential":"DPT"},"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":"WI","license":"14215-24"}]},"addresses":[{"purpose":"LOCATION","street_1":"1231 S ROCHESTER ST STE 210","city":"MUKWONAGO","state":"WI","postal_code":"531499032","country_code":"US","phone":"2627109100"},{"purpose":"MAILING","street_1":"2122 YORK RD STE 300","city":"OAK BROOK","state":"IL","postal_code":"605231925","country_code":"US","phone":"6305751980","fax":"6309285080"}],"license":{"state":"WI","number":"14215-24"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180614002830","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"WI","pac_id":"8921353921"}]},"enumeration_date":"2018-06-04","last_updated":"2024-06-10","_meta":{"source":"NPPES","snapshot_date":"2024-06-10","doc_url":"https://findmynpi.com/api"}}