{"npi":"1306362140","type":"NPI-1","status":"active","name":{"display":"Bethany Baron Pt","other":[{"code":"1","type":"Formerly known as","value":"KADRLIK, BETHANY RAE"}],"first":"BETHANY","last":"BARON","middle":"RAE","credential":"PT"},"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":"MN","license":"10862"}]},"addresses":[{"purpose":"LOCATION","street_1":"3111 124TH AVE NW STE 200","city":"COON RAPIDS","state":"MN","postal_code":"554334573","country_code":"US","phone":"7634277300","fax":"7634272802"},{"purpose":"MAILING","street_1":"4200 DAHLBERG DR STE 300","city":"GOLDEN VALLEY","state":"MN","postal_code":"554224841","country_code":"US","phone":"9525125600"}],"license":{"state":"MN","number":"10862"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170921002231","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"MN","pac_id":"0446524912"}]},"enumeration_date":"2017-08-14","last_updated":"2023-04-05","_meta":{"source":"NPPES","snapshot_date":"2023-04-05","doc_url":"https://findmynpi.com/api"}}