{"npi":"1972091353","type":"NPI-1","status":"active","name":{"display":"Kelli Edmond Otr/L","other":[{"code":"1","type":"Formerly known as","value":"EDMOND, KELLI"}],"first":"KELLI","last":"EDMOND","credential":"OTR/L"},"specialty":{"primary_taxonomy":"225X00000X","primary_taxonomy_description":"Occupational Therapist","slug":"occupational-therapist","schema_org_specialty":null,"all":[{"code":"225X00000X","description":"Occupational Therapist","primary":false,"state":"VA","license":null},{"code":"225X00000X","description":"Occupational Therapist","primary":true,"state":"CA","license":"22489"}]},"addresses":[{"purpose":"LOCATION","street_1":"848 W LANCASTER BLVD STE 102","city":"LANCASTER","state":"CA","postal_code":"935342347","country_code":"US","phone":"4129796790"},{"purpose":"MAILING","street_1":"14004 PALAWAN WAY APT 309","city":"MARINA DEL REY","state":"CA","postal_code":"902926228","country_code":"US","phone":"4129796790"}],"license":{"state":"CA","number":"22489"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2018-05-01","last_updated":"2024-01-25","_meta":{"source":"NPPES","snapshot_date":"2024-01-25","doc_url":"https://findmynpi.com/api"}}