{"npi":"1124874375","type":"NPI-1","status":"active","name":{"display":"Blake Coughenour","other":[],"first":"BLAKE","last":"COUGHENOUR"},"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":"IA","license":"124144"}]},"addresses":[{"purpose":"LOCATION","street_1":"128 W HICKMAN RD","city":"WAUKEE","state":"IA","postal_code":"502635070","country_code":"US","phone":"5153091819"},{"purpose":"MAILING","street_1":"2122 YORK RD STE 300","city":"OAK BROOK","state":"IL","postal_code":"605231925","country_code":"US"}],"license":{"state":"IA","number":"124144"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240605000872","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"IA","pac_id":"3577005628"}]},"enumeration_date":"2024-04-29","last_updated":"2024-05-28","_meta":{"source":"NPPES","snapshot_date":"2024-05-28","doc_url":"https://findmynpi.com/api"}}