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 | 133VN1004X | Dietitian, Registered | Nutrition, Pediatric | | | No |
| 2 | 152W00000X | Optometrist | | | | No |
| 3 | 152WL0500X | Optometrist | Low Vision Rehabilitation | | | Yes |
| 4 | 152WP0200X | Optometrist | Pediatrics | | | No |
| 5 | 225100000X | Physical Therapist | | | | No |
| 6 | 2251P0200X | Physical Therapist | Pediatrics | | | No |
| 7 | 225CA2400X | Rehabilitation Counselor | Assistive Technology Practitioner | | | No |
| 8 | 225CA2500X | Rehabilitation Counselor | Assistive Technology Supplier | | | No |
| 9 | 235Z00000X | Speech-Language Pathologist | | | | No |
| 10 | 251B00000X | Case Management | | | | No |
| 11 | 261QA3000X | Clinic/Center | Augmentative Communication | | | No |
| 12 | 261QH0700X | Clinic/Center | Hearing and Speech | | | No |
| 13 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 14 | 225XL0004X | Occupational Therapist | Low Vision | | | No |
| 15 | 225CX0006X | Rehabilitation Counselor | Orientation and Mobility Training Provider | | | No |
