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 | 2251H1200X | Physical Therapist | Hand | | | No |
| 2 | 225XH1200X | Occupational Therapist | Hand | | | 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 | ========= | OTHER | | UNITED HEALTHCARE |
| 2 | P00122385 | OTHER | | MEDICARE RAILROAD |
| 3 | 087898QZY | MEDICARE ID-TYPE UNSPECIFIED | | KATHY POPIEL |
| 4 | 078015QZY | MEDICARE ID-TYPE UNSPECIFIED | | ELIZABETH DENTREMONT |
| 5 | ========= | OTHER | | INTERGROUP |
| 6 | 023804QZY | MEDICARE ID-TYPE UNSPECIFIED | | KRAIG BANO |
| 7 | 4782050001 | MEDICARE NSC | PENNSYLVANIA | |
| 8 | ========= | OTHER | | DEVON HEALTH SYSTEMS |
| 9 | 2116515000 | OTHER | | PERSONAL CHOICE ROBERTA M |
| 10 | 2627004000 | OTHER | | PERSONAL CHOICE 65 KATHY |
| 11 | ========= | OTHER | | SMART COMP |
| 12 | ========= | OTHER | | PRIVATE HEALTHCARE SYSTEM |
| 13 | ========= | OTHER | | FIRST HEALTH |
| 14 | 0401979000 | OTHER | | PERSONAL CHOICE 65 TERI S |
| 15 | 3207843 | OTHER | | AETNA PPO |
| 16 | 062907QZY | MEDICARE ID-TYPE UNSPECIFIED | | ROBERTA MORRIS |
| 17 | 2116418000 | OTHER | | KEYSTONE HPE KEYSTONE 65 |
| 18 | 087889QZY | MEDICARE ID-TYPE UNSPECIFIED | | JANE MOORE |
| 19 | 062897QZY | MEDICARE ID-TYPE UNSPECIFIED | | TERI SPEAKMAN |
| 20 | 062877 | MEDICARE ID-TYPE UNSPECIFIED | | |
