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 | 204D00000X | Neuromusculoskeletal Medicine & OMM | | 5101023529 | MICHIGAN | No |
| 2 | 204D00000X | Neuromusculoskeletal Medicine & OMM | | 25547 | NEW HAMPSHIRE | No |
| 3 | 204D00000X | Neuromusculoskeletal Medicine & OMM | | 271609 | NEW YORK | No |
| 4 | 208100000X | Physical Medicine & Rehabilitation | | 271609 | NEW YORK | No |
| 5 | 208100000X | Physical Medicine & Rehabilitation | | 5101023529 | MICHIGAN | No |
| 6 | 2081H0002X | Physical Medicine & Rehabilitation | Hospice and Palliative Medicine | 25547 | NEW HAMPSHIRE | No |
| 7 | 2081H0002X | Physical Medicine & Rehabilitation | Hospice and Palliative Medicine | 271609 | NEW YORK | No |
| 8 | 2081H0002X | Physical Medicine & Rehabilitation | Hospice and Palliative Medicine | 5101023529 | MICHIGAN | No |
| 9 | 208100000X | Physical Medicine & Rehabilitation | | 25547 | NEW HAMPSHIRE | Yes |