{"npi":"1306124383","type":"NPI-1","status":"active","name":{"display":"Kasandra Lickteig Dpt","other":[],"first":"KASANDRA","last":"LICKTEIG","middle":"L","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":"NE","license":"3023"}]},"addresses":[{"purpose":"LOCATION","street_1":"410 E 22ND ST","city":"FREMONT","state":"NE","postal_code":"680252609","country_code":"US","phone":"4027213908","fax":"4027214047"},{"purpose":"MAILING","street_1":"790 REMINGTON BLVD","city":"BOLINGBROOK","state":"IL","postal_code":"604404909","country_code":"US"}],"license":{"state":"NE","number":"3023"},"identifiers":[{"type_code":"01","label":"Other","value":"47649","state":"NE","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"01","label":"Other","value":"P01003060","state":"NE","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2011-07-25","last_updated":"2024-06-21","_meta":{"source":"NPPES","snapshot_date":"2024-06-21","doc_url":"https://findmynpi.com/api"}}