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 | 225100000X | Physical Therapist | | 643280000 | TEXAS | 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 | 8T4268 | OTHER | TEXAS | J HURT BCBS # |
| 2 | 8D5707 | MEDICARE ID-TYPE UNSPECIFIED | TEXAS | J HURT MEDICARE# |
| 3 | 83574E | MEDICARE ID-TYPE UNSPECIFIED | TEXAS | B HURT MEDICARE # |
| 4 | 89995T | OTHER | TEXAS | Y BOOKER BCBS# |
| 5 | 83655E | MEDICARE ID-TYPE UNSPECIFIED | TEXAS | J TOMBERLIN MC # |
| 6 | 650021220 | OTHER | TEXAS | RAILROAD MC# BOOKER |
| 7 | 83575E | MEDICARE ID-TYPE UNSPECIFIED | TEXAS | Y BOOKER MEDICARE # |
| 8 | 1034957 | OTHER | TEXAS | J TOMBERLIN LICENSE # |
| 9 | 650021221 | OTHER | TEXAS | RAILROAD MC # B HURT |
| 10 | 1015105 | OTHER | TEXAS | J HURT LICENSE # |
| 11 | 86445T | OTHER | TEXAS | J TOMBERLIN BCBS# |
| 12 | 00107S | MEDICARE ID-TYPE UNSPECIFIED | TEXAS | GROUP # |
| 13 | 89994T | OTHER | TEXAS | B HURT BCBS # |
| 14 | 1026870 | OTHER | TEXAS | B HURT LICENSE # |
| 15 | 1082741 | OTHER | TEXAS | Y BOOKER LICENSE # |
| 16 | 83653E | MEDICARE ID-TYPE UNSPECIFIED | TEXAS | M BAKER MEDICARE# |
| 17 | 86444T | OTHER | TEXAS | M BAKER BCBS # |
| 18 | 1001030 | OTHER | TEXAS | M BAKER LICENSE # |