{"npi":"1316481807","type":"NPI-1","status":"active","name":{"display":"Troy Bloom Dpt","other":[],"first":"TROY","last":"BLOOM","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":false,"state":"WI","license":"1477-24"},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"IL","license":"070022808"}]},"addresses":[{"purpose":"LOCATION","street_1":"34572 N US HIGHWAY 45","city":"THIRD LAKE","state":"IL","postal_code":"600304037","country_code":"US","phone":"8475483695","fax":"8475483694"},{"purpose":"MAILING","street_1":"625 ENTERPRISE DR","city":"OAK BROOK","state":"IL","postal_code":"605238813","country_code":"US","phone":"6305751980"}],"license":{"state":"IL","number":"070022808"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170303001236","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"IL","pac_id":"3072897305"},{"enrlmt_id":"I20200629000293","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"WI","pac_id":"3072897305"},{"enrlmt_id":"I20240401001112","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"FL","pac_id":"3072897305"}]},"enumeration_date":"2016-12-19","last_updated":"2019-06-11","_meta":{"source":"NPPES","snapshot_date":"2019-06-11","doc_url":"https://findmynpi.com/api"}}