{"npi":"1396177200","type":"NPI-1","status":"active","name":{"display":"Makenzie O'neal Dpt","other":[{"code":"1","type":"Formerly known as","value":"BURBRINK, MAKENZIE J"}],"first":"MAKENZIE","last":"O'NEAL","middle":"J","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":"IN","license":"05011149A"}]},"addresses":[{"purpose":"LOCATION","street_1":"1639 N NATIONAL RD","city":"COLUMBUS","state":"IN","postal_code":"472015579","country_code":"US","phone":"8126691687"},{"purpose":"MAILING","street_1":"600 OAKMONT LN STE 600C","city":"WESTMONT","state":"IL","postal_code":"605595548","country_code":"US","phone":"6305756200"}],"license":{"state":"IN","number":"05011149A"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20131118000185","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"IN","pac_id":"9032345202"}]},"enumeration_date":"2013-08-01","last_updated":"2020-08-11","_meta":{"source":"NPPES","snapshot_date":"2020-08-11","doc_url":"https://findmynpi.com/api"}}