{
  "npi": "1679381248",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "OTR",
    "authorized_official_first_name": "SETH",
    "authorized_official_last_name": "BIDLACK",
    "authorized_official_telephone_number": "4194385026",
    "authorized_official_title_or_position": "Owner",
    "certification_date": "2024-12-27",
    "enumeration_date": "2024-12-27",
    "last_updated": "2024-12-27",
    "organization_name": "3 PHASE ENDURANCE TRAINING LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "taxonomies": [
    {
      "code": "2255A2300X",
      "desc": "Specialist/Technologist, Athletic Trainer",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "225X00000X",
      "desc": "Occupational Therapist",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "225XP0019X",
      "desc": "Occupational Therapist, Physical Rehabilitation",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    }
  ],
  "enrichment": {
    "plain_english_specialty": "Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)",
    "certifying_board": "National Board for Certification in Occupational Therapy (NBCOT)",
    "common_medicare_procedures": [
      "Activities of Daily Living (ADL) & Neuromuscular Re-Education (CPT 97530–97535)",
      "Upper Extremity Hand Therapy, Custom Splinting & Home Safety Ergonomics"
    ],
    "common_part_d_therapeutic_classes": [
      "Non-Pharmacological Functional & Sensory-Motor Rehabilitation Protocols"
    ]
  }
}