{"npi":"1356564520","type":"NPI-2","status":"active","name":{"display":"Wayne A Johansen","other":[],"organization_name":"WAYNE A JOHANSEN","authorised_official":"Wayne Johansen"},"specialty":{"primary_taxonomy":"261QP2000X","primary_taxonomy_description":"Physical Therapy Clinic/Center","slug":"physical-therapy-clinic-center","schema_org_specialty":null,"all":[{"code":"261QP2000X","description":"Physical Therapy Clinic/Center","primary":true,"state":"WI","license":"987"}]},"addresses":[{"purpose":"LOCATION","street_1":"626 14TH ST","city":"BARABOO","state":"WI","postal_code":"539131535","country_code":"US","phone":"6083562334","fax":"6083562636"},{"purpose":"MAILING","street_1":"PO BOX 31","city":"BARABOO","state":"WI","postal_code":"539130031","country_code":"US","phone":"6083562334","fax":"6083562636"}],"license":{"state":"WI","number":"987"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"40414400","state":"WI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-04-10","last_updated":"2008-06-17","_meta":{"source":"NPPES","snapshot_date":"2008-06-17","doc_url":"https://findmynpi.com/api"}}