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 | 163WP0200X | Registered Nurse | Pediatrics | HHA 209360961 | FLORIDA | No |
| 2 | 164W00000X | Licensed Practical Nurse | | HHA 209360961 | FLORIDA | No |
| 3 | 225100000X | Physical Therapist | | HHA 209360961 | FLORIDA | No |
| 4 | 2251P0200X | Physical Therapist | Pediatrics | HHA 209360961 | FLORIDA | No |
| 5 | 225X00000X | Occupational Therapist | | HHA 209360961 | FLORIDA | No |
| 6 | 225XP0200X | Occupational Therapist | Pediatrics | HHA 209360961 | FLORIDA | No |
| 7 | 227800000X | Respiratory Therapist, Certified | | HHA 209360961 | FLORIDA | No |
| 8 | 2278H0200X | Respiratory Therapist, Certified | Home Health | HHA 209360961 | FLORIDA | No |
| 9 | 2278P3900X | Respiratory Therapist, Certified | Neonatal/Pediatrics | HHA 209360961 | FLORIDA | No |
| 10 | 235Z00000X | Speech-Language Pathologist | | HHA 209360961 | FLORIDA | No |
| 11 | 251E00000X | Home Health | | HHA 209360961 | FLORIDA | No |
| 12 | 251F00000X | Home Infusion | | HHA 209360961 | FLORIDA | No |
| 13 | 251J00000X | Nursing Care | | HHA 209360961 | FLORIDA | No |
| 14 | 163WI0500X | Registered Nurse | Infusion Therapy | HHA 209360961 | FLORIDA | 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 | 650164800 | MEDICAID | FLORIDA | |
