{"npi":"1942525449","type":"NPI-1","status":"active","name":{"display":"Casey Charlebois Ms, Mpt","other":[{"code":"1","type":"Formerly known as","value":"BUSH, CASEY"}],"first":"CASEY","last":"CHARLEBOIS","credential":"MS,MPT"},"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":"CO","license":"10389"},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"MI","license":"5501019764"}]},"addresses":[{"purpose":"LOCATION","street_1":"36800 WOODWARD AVE STE 210","city":"BLOOMFIELD HILLS","state":"MI","postal_code":"483040917","country_code":"US","phone":"2485433566"},{"purpose":"MAILING","street_1":"21316 MACK AVE","city":"GROSSE POINTE WOODS","state":"MI","postal_code":"482361047","country_code":"US","phone":"2487334325"}],"license":{"state":"MI","number":"5501019764"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210107001789","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"MI","pac_id":"5597042317"}]},"enumeration_date":"2010-03-29","last_updated":"2024-11-13","_meta":{"source":"NPPES","snapshot_date":"2024-11-13","doc_url":"https://findmynpi.com/api"}}