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 | 103T00000X | Psychologist | | | | No |
| 2 | 224Z00000X | Occupational Therapy Assistant | | | | No |
| 3 | 224ZE0001X | Occupational Therapy Assistant | Environmental Modification | | | No |
| 4 | 224ZF0002X | Occupational Therapy Assistant | Feeding, Eating & Swallowing | | | No |
| 5 | 225100000X | Physical Therapist | | | | No |
| 6 | 2251P0200X | Physical Therapist | Pediatrics | | | No |
| 7 | 2251X0800X | Physical Therapist | Orthopedic | | | No |
| 8 | 2355S0801X | Specialist/Technologist | Speech-Language Assistant | | | No |
| 9 | 225XH1300X | Occupational Therapist | Human Factors | | | No |
| 10 | 225XM0800X | Occupational Therapist | Mental Health | | | No |
| 11 | 225200000X | Physical Therapy Assistant | | | | No |
| 12 | 225XE0001X | Occupational Therapist | Environmental Modification | | | No |
| 13 | 225XF0002X | Occupational Therapist | Feeding, Eating & Swallowing | | | No |
| 14 | 235Z00000X | Speech-Language Pathologist | | | | Yes |