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 | 207XS0106X | Orthopaedic Surgery | Hand Surgery | | | No |
| 2 | 207XS0117X | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | | | No |
| 3 | 207XX0004X | Orthopaedic Surgery | Foot and Ankle Surgery | | | No |
| 4 | 2081P2900X | Physical Medicine & Rehabilitation | Pain Medicine | | | No |
| 5 | 208VP0000X | Pain Medicine | Pain Medicine | | | No |
| 6 | 225100000X | Physical Therapist | | | | No |
| 7 | 225200000X | Physical Therapy Assistant | | | | No |
| 8 | 225X00000X | Occupational Therapist | | | | No |
| 9 | 363AS0400X | Physician Assistant | Surgical | | | No |
| 10 | 207X00000X | Orthopaedic Surgery | | | | Yes |