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 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 2 | 335E00000X | Prosthetic/Orthotic Supplier | | | | No |
| 3 | 207XX0005X | Orthopaedic Surgery | Sports Medicine | | | No |
| 4 | 207XS0106X | Orthopaedic Surgery | Hand Surgery | | | No |
| 5 | 207QS0010X | Family Medicine | Sports Medicine | | | No |
| 6 | 363AM0700X | Physician Assistant | Medical | | | No |
| 7 | 213E00000X | Podiatrist | | | | No |
| 8 | 225100000X | Physical Therapist | | | | No |
| 9 | 225X00000X | Occupational Therapist | | | | No |
| 10 | 2251X0800X | Physical Therapist | Orthopedic | | | No |
| 11 | 207X00000X | Orthopaedic Surgery | | | | Yes |