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 | 2083S0010X | Preventive Medicine | Sports Medicine | 2462 | SOUTH CAROLINA | No |
| 2 | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | | 2462 | SOUTH CAROLINA | No |
| 3 | 208100000X | Physical Medicine & Rehabilitation | | 2462 | SOUTH CAROLINA | No |
| 4 | 225400000X | Rehabilitation Practitioner | | 2462 | SOUTH CAROLINA | No |
| 5 | 246ZX2200X | Specialist/Technologist, Other | Orthopedic Assistant | 2462 | SOUTH CAROLINA | No |
| 6 | 2255A2300X | Specialist/Technologist | Athletic Trainer | 2462 | SOUTH CAROLINA | Yes |