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 | 235Z00000X | Speech-Language Pathologist | | 3579 | SOUTH CAROLINA | No |
| 2 | 225XP0200X | Occupational Therapist | Pediatrics | | | No |
| 3 | 225100000X | Physical Therapist | | | | No |
| 4 | 224Z00000X | Occupational Therapy Assistant | | | | No |
| 5 | 2251P0200X | Physical Therapist | Pediatrics | | | No |
| 6 | 225X00000X | Occupational Therapist | | | | No |
| 7 | 225200000X | Physical Therapy Assistant | | | | No |
| 8 | 2355S0801X | Specialist/Technologist | Speech-Language Assistant | | | Yes |
