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 | 101YM0800X | Counselor | Mental Health | | | No |
| 2 | 225XP0019X | Occupational Therapist | Physical Rehabilitation | | | No |
| 3 | 251J00000X | Nursing Care | | | | No |
| 4 | 253Z00000X | In Home Supportive Care | | | | No |
| 5 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 6 | 261QP2000X | Clinic/Center | Physical Therapy | | | No |
| 7 | 261QR0400X | Clinic/Center | Rehabilitation | | | No |
| 8 | 282E00000X | Long Term Care Hospital | | | | No |
| 9 | 314000000X | Skilled Nursing Facility | | | | No |
| 10 | 208100000X | Physical Medicine & Rehabilitation | | | | Yes |