{"npi":"1477045581","type":"NPI-1","status":"active","name":{"display":"Tyrel Nelson Pt","other":[],"first":"TYREL","last":"NELSON","credential":"PT"},"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":"ID","license":"5655"}]},"addresses":[{"purpose":"LOCATION","street_1":"1120 STOCKS AVE STE C","city":"REXBURG","state":"ID","postal_code":"834403590","country_code":"US","phone":"2082612123"},{"purpose":"MAILING","street_1":"1940 S BONITO WAY STE 190","city":"MERIDIAN","state":"ID","postal_code":"836425618","country_code":"US","phone":"2082879420"}],"license":{"state":"ID","number":"5655"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1477045581","state":"ID","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180816001758","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"ID","pac_id":"9133478647"}]},"enumeration_date":"2018-06-04","last_updated":"2023-02-22","_meta":{"source":"NPPES","snapshot_date":"2023-02-22","doc_url":"https://findmynpi.com/api"}}