{"npi":"1902304777","type":"NPI-1","status":"active","name":{"display":"Kelly Weiske Dpt","other":[{"code":"1","type":"Formerly known as","value":"CARLSON, KELLY RUTH"}],"first":"KELLY","last":"WEISKE","middle":"RUTH-CARLSON","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":false,"state":null,"license":null},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"MN","license":"11418"}]},"addresses":[{"purpose":"LOCATION","street_1":"3365 CENTRAL PARK VILLAGE DR # 100","city":"EAGAN","state":"MN","postal_code":"551217707","country_code":"US","phone":"9528354512","fax":"8884250398"},{"purpose":"MAILING","street_1":"7825 3RD ST N STE 105","city":"OAKDALE","state":"MN","postal_code":"551285444","country_code":"US","phone":"9528354512","fax":"8884250398"}],"license":{"state":"MN","number":"11418"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190410001244","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"MN","pac_id":"6608138458"}]},"enumeration_date":"2018-01-26","last_updated":"2021-08-16","_meta":{"source":"NPPES","snapshot_date":"2021-08-16","doc_url":"https://findmynpi.com/api"}}