{"npi":"1689618852","type":"NPI-1","status":"active","name":{"display":"Joseph Waller P.T.","other":[],"first":"JOSEPH","last":"WALLER","middle":"R.","credential":"P.T."},"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":"6231-024"}]},"addresses":[{"purpose":"LOCATION","street_1":"E3277 APPLE TREE LN","city":"WAUPACA","state":"WI","postal_code":"549817580","country_code":"US","phone":"7152560358","fax":"7152560393"},{"purpose":"MAILING","street_1":"4000 N PROVIDENCE AVE","city":"APPLETON","state":"WI","postal_code":"549138018","country_code":"US","phone":"9202572005","fax":"9202572004"}],"license":{"state":"WI","number":"6231-024"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"40319100","state":"WI","issuer":null},{"type_code":"01","label":"Other","value":"64-07247","state":"WI","issuer":"MEDICA"},{"type_code":"01","label":"Other","value":"27F99WA","state":"MN","issuer":"BCBS OF MN"},{"type_code":"01","label":"Other","value":"64-03552","state":"WI","issuer":"MEDICA"},{"type_code":"01","label":"Other","value":"650023250","state":"WI","issuer":"RAILROAD MEDICARE/POPLAR"},{"type_code":"01","label":"Other","value":"84251","state":"WI","issuer":"SECURITY HEALTH PLAN"},{"type_code":"01","label":"Other","value":"42B57WA","state":"MN","issuer":"BCBS OF MN"},{"type_code":"01","label":"Other","value":"P00403685","state":"WI","issuer":"RAILROAD MEDICARE/NEW LONDON"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050616000148","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"WI","pac_id":"2264476621"}]},"enumeration_date":"2006-06-16","last_updated":"2013-06-27","_meta":{"source":"NPPES","snapshot_date":"2013-06-27","doc_url":"https://findmynpi.com/api"}}