{"npi":"1982115432","type":"NPI-1","status":"active","name":{"display":"Jennifer Wagner Ms, Otr/L","other":[{"code":"1","type":"Formerly known as","value":"LOPEZ QUINTERO, JENNIFER"}],"first":"JENNIFER","last":"WAGNER","credential":"MS, OTR/L"},"specialty":{"primary_taxonomy":"225XP0200X","primary_taxonomy_description":"Pediatric Occupational Therapist","slug":"pediatric-occupational-therapist","schema_org_specialty":null,"all":[{"code":"225XP0200X","description":"Pediatric Occupational Therapist","primary":true,"state":"AZ","license":"7165"}]},"addresses":[{"purpose":"LOCATION","street_1":"20329 N 59TH AVE","city":"GLENDALE","state":"AZ","postal_code":"853086853","country_code":"US","phone":"6235002401","fax":"6235002401"},{"purpose":"MAILING","street_1":"7505 S 14TH ST","city":"PHOENIX","state":"AZ","postal_code":"850425666","country_code":"US","phone":"6023498212"}],"license":{"state":"AZ","number":"7165"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2017-10-23","last_updated":"2019-06-18","_meta":{"source":"NPPES","snapshot_date":"2019-06-18","doc_url":"https://findmynpi.com/api"}}