{"npi":"1790176485","type":"NPI-1","status":"active","name":{"display":"Michelle Brodeur Dpt","other":[],"first":"MICHELLE","last":"BRODEUR","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":"FL","license":"PT30108"}]},"addresses":[{"purpose":"LOCATION","street_1":"106 CT 66","city":"COLUMBIA","state":"CT","postal_code":"062370623","country_code":"US","phone":"8602280194"},{"purpose":"MAILING","street_1":"106 CT 66","city":"COLUMBIA","state":"CT","postal_code":"06237","country_code":"US"}],"license":{"state":"FL","number":"PT30108"},"identifiers":[{"type_code":"01","label":"Other","value":"IB763Z","state":"FL","issuer":"MEDICARE PTAN"},{"type_code":"01","label":"Other","value":"Y0Q7S","state":"FL","issuer":"BLUE CROSS BLUE SHIELD"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180516001912","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"CT","pac_id":"7214253335"}]},"enumeration_date":"2015-02-17","last_updated":"2021-04-14","_meta":{"source":"NPPES","snapshot_date":"2021-04-14","doc_url":"https://findmynpi.com/api"}}