{"npi":"1306293238","type":"NPI-1","status":"active","name":{"display":"Erin Wall","other":[],"first":"ERIN","last":"WALL"},"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":"OR","license":"61718"}]},"addresses":[{"purpose":"LOCATION","street_1":"283 NW MILLER AVE","city":"GRESHAM","state":"OR","postal_code":"970307260","country_code":"US","phone":"5036667644","fax":"5036749980"},{"purpose":"MAILING","street_1":"16083 SW UPPER BOONES FERRY RD","city":"TIGARD","state":"OR","postal_code":"972247736","country_code":"US","street_2":"SUITE 300","phone":"8002198835","fax":"5036399699"}],"license":{"state":"OR","number":"61718"},"identifiers":[{"type_code":"01","label":"Other","value":"R194481","state":"OR","issuer":"MEDICARE"},{"type_code":"01","label":"Other","value":"R194486","state":"OR","issuer":"MEDICARE"},{"type_code":"05","label":"Medicaid","value":"500723506","state":"OR","issuer":null},{"type_code":"01","label":"Other","value":"R194485","state":"OR","issuer":"MEDICARE"},{"type_code":"01","label":"Other","value":"R194482","state":"OR","issuer":"MEDICARE"},{"type_code":"01","label":"Other","value":"R194484","state":"OR","issuer":"MEDICARE"},{"type_code":"01","label":"Other","value":"R194483","state":"OR","issuer":"MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170609000479","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"OR","pac_id":"8527336833"}]},"enumeration_date":"2016-05-20","last_updated":"2017-06-13","_meta":{"source":"NPPES","snapshot_date":"2017-06-13","doc_url":"https://findmynpi.com/api"}}