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 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 2 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 3 | 261QA1903X | Clinic/Center | Ambulatory Surgical | | | No |
| 4 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 5 | 261QM1200X | Clinic/Center | Magnetic Resonance Imaging (MRI) | | | No |
| 6 | 261QM2800X | Clinic/Center | Methadone | | | No |
| 7 | 261QE0700X | Clinic/Center | End-Stage Renal Disease (ESRD) Treatment | | | No |
| 8 | 261QP2000X | Clinic/Center | Physical Therapy | | | No |
| 9 | 261QP3300X | Clinic/Center | Pain | | | No |
| 10 | 261QR0200X | Clinic/Center | Radiology | | | No |
| 11 | 261QR0400X | Clinic/Center | Rehabilitation | | | No |
| 12 | 261QX0100X | Clinic/Center | Occupational Medicine | | | No |
| 13 | 283X00000X | Rehabilitation Hospital | | | | No |
| 14 | 332BD1200X | Durable Medical Equipment & Medical Supplies | Dialysis Equipment & Supplies | | | No |
| 15 | 251G00000X | Hospice Care, Community Based | | | | Yes |