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 | 103TE1100X | Psychologist | Exercise & Sports | | | No |
| 2 | 103TR0400X | Psychologist | Rehabilitation | | | No |
| 3 | 1744G0900X | Specialist | Graphics Designer | | | No |
| 4 | 207Q00000X | Family Medicine | | | | No |
| 5 | 208100000X | Physical Medicine & Rehabilitation | | | | No |
| 6 | 225C00000X | Rehabilitation Counselor | | | | No |
| 7 | 225CA2500X | Rehabilitation Counselor | Assistive Technology Supplier | | | No |
| 8 | 225CX0006X | Rehabilitation Counselor | Orientation and Mobility Training Provider | | | No |
| 9 | 225XP0019X | Occupational Therapist | Physical Rehabilitation | | | No |
| 10 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 11 | 335E00000X | Prosthetic/Orthotic Supplier | | | | No |
| 12 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | Yes |