{"npi":"1205824968","type":"NPI-2","status":"active","name":{"display":"Elim Homes, Inc.","other":[],"organization_name":"ELIM HOMES, INC.","authorised_official":"Seelochani Stadtherr"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"231H00000X","description":"Audiologist","primary":false,"state":"MN","license":"246546"},{"code":"225X00000X","description":"Occupational Therapist","primary":false,"state":"MN","license":"246546"},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"MN","license":"246546"}]},"addresses":[{"purpose":"LOCATION","street_1":"200 LEWIS AVE S","city":"WATERTOWN","state":"MN","postal_code":"553884545","country_code":"US","street_2":"SUITE 210","phone":"9529552242","fax":"9529552010"},{"purpose":"MAILING","street_1":"200 LEWIS AVE S","city":"WATERTOWN","state":"MN","postal_code":"553884545","country_code":"US","street_2":"SUITE 210","phone":"9529552242","fax":"9529552010"}],"license":{"state":"MN","number":"246546"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"756555100","state":"MN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20030807000036","type_code":"00-14","type_desc":"PART A PROVIDER - OUTPATIENT PHYSICAL THERAPY/OCCUPATIONAL THERAPY/SPEECH PATHOLOGY SERVICES","state":"MN","pac_id":"0042121618"}]},"enumeration_date":"2005-10-07","last_updated":"2023-10-12","_meta":{"source":"NPPES","snapshot_date":"2023-10-12","doc_url":"https://findmynpi.com/api"}}