{"npi":"1346587631","type":"NPI-1","status":"active","name":{"display":"Kelli Baruch Dpt","other":[{"code":"1","type":"Formerly known as","value":"CROUSE, KELLI M"}],"first":"KELLI","last":"BARUCH","middle":"M","credential":"DPT"},"specialty":{"primary_taxonomy":"2251X0800X","primary_taxonomy_description":"Orthopedic Physical Therapist","slug":"orthopedic-physical-therapist","schema_org_specialty":null,"all":[{"code":"225100000X","description":"Physical Therapist","primary":false,"state":"CA","license":"39615"},{"code":"2251X0800X","description":"Orthopedic Physical Therapist","primary":true,"state":"CA","license":"PT39615"}]},"addresses":[{"purpose":"LOCATION","street_1":"12465 LEWIS STREET","city":"GARDEN GROVE","state":"CA","postal_code":"928404658","country_code":"US","street_2":"SUITE 101","phone":"7147038477","fax":"7147038157"},{"purpose":"MAILING","street_1":"12465 LEWIS STREET","city":"GARDEN GROVE","state":"CA","postal_code":"928404658","country_code":"US","street_2":"SUITE 101","phone":"7147038477","fax":"7147038157"}],"license":{"state":"CA","number":"PT39615"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130221000078","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"CA","pac_id":"3870748981"}]},"enumeration_date":"2013-01-07","last_updated":"2018-08-15","_meta":{"source":"NPPES","snapshot_date":"2018-08-15","doc_url":"https://findmynpi.com/api"}}