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 | 225XH1200X | Occupational Therapist | Hand | 02146 1 | NEW YORK | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 0065020 | OTHER | NEW YORK | HEALTHNET ORTHONET |
| 2 | 4281949 | OTHER | NEW YORK | AETNA |
| 3 | 811646 | OTHER | NEW YORK | MANAGED PHYSICAL NTWK |
| 4 | 1C9939 | OTHER | NEW YORK | HEALTHNET |
| 5 | 65020 | OTHER | NEW YORK | CIGNA ORTHONET |
| 6 | 0011210 | OTHER | NEW YORK | AETNA ORTHONET |
| 7 | 0189870001 | OTHER | | DME MEDICARE REGION A |
| 8 | 475517 | OTHER | NEW YORK | UNITED HEALTHCARE |
| 9 | NS653 | OTHER | NEW YORK | OXFORD HEALTHPLANS |
| 10 | Q54711 | MEDICARE UPIN | | |
| 11 | Q54711 | MEDICARE ID-TYPE UNSPECIFIED | | |
| 12 | Q54711 | OTHER | NEW YORK | EMPIRE HEALTHCARE AN EMPI |
