{"npi":"1124151253","type":"NPI-1","status":"active","name":{"display":"Andrea Koehler Pt","other":[{"code":"1","type":"Formerly known as","value":"HAGEMAN, ANDREA S"}],"first":"ANDREA","last":"KOEHLER","middle":"H","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":"IL","license":"070011841"}]},"addresses":[{"purpose":"LOCATION","street_1":"2810 FRANK SCOTT PKWY W","city":"BELLEVILLE","state":"IL","postal_code":"622235007","country_code":"US","street_2":"STE 824","phone":"6182349705","fax":"6182570665"},{"purpose":"MAILING","street_1":"2810 FRANK SCOTT PKWY W","city":"BELLEVILLE","state":"IL","postal_code":"622235007","country_code":"US","street_2":"STE 824","phone":"6182349705","fax":"6182570665"}],"license":{"state":"IL","number":"070011841"},"identifiers":[{"type_code":"01","label":"Other","value":"P00931250","state":"IL","issuer":"RR MEDICARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-14","last_updated":"2013-03-27","_meta":{"source":"NPPES","snapshot_date":"2013-03-27","doc_url":"https://findmynpi.com/api"}}