{"npi":"1891590329","type":"NPI-1","status":"active","name":{"display":"Jesse Mellema","other":[],"first":"JESSE","last":"MELLEMA","middle":"S"},"specialty":{"primary_taxonomy":"2251X0800X","primary_taxonomy_description":"Orthopedic Physical Therapist","slug":"orthopedic-physical-therapist","schema_org_specialty":null,"all":[{"code":"2251X0800X","description":"Orthopedic Physical Therapist","primary":true,"state":"CA","license":"307646"}]},"addresses":[{"purpose":"LOCATION","street_1":"16561 BOLSA CHICA ST STE 100","city":"HUNTINGTON BEACH","state":"CA","postal_code":"926493594","country_code":"US","phone":"7143641313"},{"purpose":"MAILING","street_1":"16681 LYNN LN APT A","city":"HUNTINGTON BEACH","state":"CA","postal_code":"926493461","country_code":"US","phone":"7143346685"}],"license":{"state":"CA","number":"307646"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250312003643","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"CA","pac_id":"4587185038"}]},"enumeration_date":"2025-02-18","last_updated":"2025-02-18","_meta":{"source":"NPPES","snapshot_date":"2025-02-18","doc_url":"https://findmynpi.com/api"}}