{"npi":"1366272007","type":"NPI-1","status":"active","name":{"display":"Tyler Vanden Boogard Dpt","other":[],"first":"TYLER","last":"VANDEN BOOGARD","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":true,"state":"WI","license":"16547-24"}]},"addresses":[{"purpose":"LOCATION","street_1":"303 S JEFFERSON ST","city":"VERONA","state":"WI","postal_code":"535931493","country_code":"US","phone":"6088456465"},{"purpose":"MAILING","street_1":"5123 CENTRAL PARK PL APT 101","city":"FITCHBURG","state":"WI","postal_code":"537119314","country_code":"US","phone":"9203590612"}],"license":{"state":"WI","number":"16547-24"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2024-08-06","last_updated":"2024-08-06","_meta":{"source":"NPPES","snapshot_date":"2024-08-06","doc_url":"https://findmynpi.com/api"}}