{"npi":"1073147161","type":"NPI-1","status":"active","name":{"display":"Hayden Klockenga Dpt","other":[],"first":"HAYDEN","last":"KLOCKENGA","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":"IL","license":"070024984"}]},"addresses":[{"purpose":"LOCATION","street_1":"4121 VETERANS MEMORIAL DR","city":"MOUNT VERNON","state":"IL","postal_code":"628646262","country_code":"US","phone":"6182423778"},{"purpose":"MAILING","street_1":"4121 VETERANS MEMORIAL DR","city":"MOUNT VERNON","state":"IL","postal_code":"628646262","country_code":"US","phone":"6182423778"}],"license":{"state":"IL","number":"070024984"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200323000880","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"IL","pac_id":"4789012964"}]},"enumeration_date":"2020-02-27","last_updated":"2020-02-27","_meta":{"source":"NPPES","snapshot_date":"2020-02-27","doc_url":"https://findmynpi.com/api"}}