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 | 163WH0200X | Registered Nurse | Home Health | | | No |
| 2 | 207QA0505X | Family Medicine | Adult Medicine | | | No |
| 3 | 207X00000X | Orthopaedic Surgery | | | | No |
| 4 | 2081P2900X | Physical Medicine & Rehabilitation | Pain Medicine | | | No |
| 5 | 208D00000X | General Practice | | | | Yes |
| 6 | 208VP0000X | Pain Medicine | Pain Medicine | | | No |
| 7 | 225100000X | Physical Therapist | | | | No |
| 8 | 2251G0304X | Physical Therapist | Geriatrics | | | No |
| 9 | 2278H0200X | Respiratory Therapist, Certified | Home Health | | | No |
| 10 | 2279G1100X | Respiratory Therapist, Registered | General Care | | | No |
| 11 | 363A00000X | Physician Assistant | | | | No |
| 12 | 363L00000X | Nurse Practitioner | | | | No |