Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 261QX0100X | Clinic/Center | Occupational Medicine | | | No |
| 2 | 171400000X | Health and Wellness Coach | | | | No |
| 3 | 202D00000X | Integrative Medicine | | | | No |
| 4 | 291U00000X | Clinical Medical Laboratory | | | | No |
| 5 | 225100000X | Physical Therapist | | | | No |
| 6 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 7 | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | | | | No |
| 8 | 111NR0400X | Chiropractor | Rehabilitation | | | No |
| 9 | 207K00000X | Allergy & Immunology | | | | No |
| 10 | 207ZP0105X | Pathology | Clinical Pathology/Laboratory Medicine | | | No |
| 11 | 207Q00000X | Family Medicine | | | | Yes |