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 | 251E00000X | Home Health | | 010548-1 | NEW YORK | No |
| 2 | 261QP2000X | Clinic/Center | Physical Therapy | 010548-1 | NEW YORK | No |
| 3 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | 010548-1 | NEW YORK | No |
| 4 | 225100000X | Physical Therapist | | | | Yes |
| 5 | 320700000X | Residential Treatment Facility, Physical Disabilities | | 010548-1 | NEW YORK | No |