{"npi":"1265325849","type":"NPI-1","status":"active","name":{"display":"Kaelyn Wagner Dpt","other":[],"first":"KAELYN","last":"WAGNER","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":"17294-24"}]},"addresses":[{"purpose":"LOCATION","street_1":"W3124 VAN ROY RD","city":"APPLETON","state":"WI","postal_code":"549153929","country_code":"US","phone":"9209681010","fax":"9209681012"},{"purpose":"MAILING","street_1":"2105 E ENTERPRISE AVE STE 113","city":"APPLETON","state":"WI","postal_code":"549137862","country_code":"US","phone":"9209912561","fax":"9209912563"}],"license":{"state":"WI","number":"17294-24"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250609000981","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"WI","pac_id":"3072023183"}]},"enumeration_date":"2025-06-02","last_updated":"2025-06-02","_meta":{"source":"NPPES","snapshot_date":"2025-06-02","doc_url":"https://findmynpi.com/api"}}