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 | 207XX0801X | Orthopaedic Surgery | Orthopaedic Trauma | | | No |
| 2 | 2251H1200X | Physical Therapist | Hand | | | No |
| 3 | 2251X0800X | Physical Therapist | Orthopedic | | | No |
| 4 | 225X00000X | Occupational Therapist | | | | No |
| 5 | 225XH1200X | Occupational Therapist | Hand | | | No |
| 6 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 7 | 207XS0117X | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | | | No |
| 8 | 207RR0500X | Internal Medicine | Rheumatology | | | No |
| 9 | 207XS0106X | Orthopaedic Surgery | Hand Surgery | | | No |
| 10 | 207XS0114X | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery | | | No |
| 11 | 207XX0004X | Orthopaedic Surgery | Foot and Ankle Surgery | | | No |
| 12 | 207XX0005X | Orthopaedic Surgery | Sports Medicine | | | No |
| 13 | 207X00000X | Orthopaedic Surgery | | | | Yes |