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 | 202C00000X | Independent Medical Examiner | | | | No |
| 2 | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | | | | No |
| 3 | 208100000X | Physical Medicine & Rehabilitation | | | | No |
| 4 | 2081H0002X | Physical Medicine & Rehabilitation | Hospice and Palliative Medicine | | | No |
| 5 | 2081N0008X | Physical Medicine & Rehabilitation | Neuromuscular Medicine | | | No |
| 6 | 2081P0004X | Physical Medicine & Rehabilitation | Spinal Cord Injury Medicine | | | No |
| 7 | 2081P2900X | Physical Medicine & Rehabilitation | Pain Medicine | | | No |
| 8 | 2081S0010X | Physical Medicine & Rehabilitation | Sports Medicine | | | No |
| 9 | 208VP0000X | Pain Medicine | Pain Medicine | | | No |
| 10 | 208VP0014X | Pain Medicine | Interventional Pain Medicine | | | No |
| 11 | 209800000X | Legal Medicine | | | | No |
| 12 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 13 | 332BC3200X | Durable Medical Equipment & Medical Supplies | Customized Equipment | | | No |
| 14 | 335E00000X | Prosthetic/Orthotic Supplier | | | | No |
| 15 | 204D00000X | Neuromusculoskeletal Medicine & OMM | | | | Yes |