{"npi":"1457303695","type":"NPI-1","status":"active","name":{"display":"Mr. Kelly Drevecky Ot R/L","other":[],"first":"KELLY","last":"DREVECKY","middle":"LON","credential":"OT R/L"},"specialty":{"primary_taxonomy":"225XP0200X","primary_taxonomy_description":"Pediatric Occupational Therapist","slug":"pediatric-occupational-therapist","schema_org_specialty":null,"all":[{"code":"225X00000X","description":"Occupational Therapist","primary":false,"state":"ND","license":"612"},{"code":"225XN1300X","description":"Neurorehabilitation Occupational Therapist","primary":false,"state":"ND","license":"612"},{"code":"225XP0200X","description":"Pediatric Occupational Therapist","primary":true,"state":"ND","license":"612"}]},"addresses":[{"purpose":"LOCATION","street_1":"700 HARMONY ST NW","city":"MINOT","state":"ND","postal_code":"587032892","country_code":"US","phone":"7017205355","fax":"7018391311"},{"purpose":"MAILING","street_1":"700 HARMONY ST NW","city":"MINOT","state":"ND","postal_code":"587032892","country_code":"US","phone":"7017205355","fax":"7018391311"}],"license":{"state":"ND","number":"612"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"50609","state":"ND","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20060518000027","type_code":"14-67","type_desc":"PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE","state":"ND","pac_id":"3971514480"}]},"enumeration_date":"2006-05-16","last_updated":"2008-08-07","_meta":{"source":"NPPES","snapshot_date":"2008-08-07","doc_url":"https://findmynpi.com/api"}}