{"npi":"1487112439","type":"NPI-1","status":"active","name":{"display":"Dr. Justin Theriault Dpt","other":[],"first":"JUSTIN","last":"THERIAULT","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":"14265-24"}]},"addresses":[{"purpose":"LOCATION","street_1":"W234S3555 STATE ROAD 59","city":"WAUKESHA","state":"WI","postal_code":"531898512","country_code":"US","phone":"2625325820"},{"purpose":"MAILING","street_1":"W234S3555 STATE ROAD 59","city":"WAUKESHA","state":"WI","postal_code":"531898512","country_code":"US","phone":"2625325820"}],"license":{"state":"WI","number":"14265-24"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230317000434","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"WI","pac_id":"2466825393"}]},"enumeration_date":"2019-03-08","last_updated":"2023-04-27","_meta":{"source":"NPPES","snapshot_date":"2023-04-27","doc_url":"https://findmynpi.com/api"}}