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 | 225X00000X | Occupational Therapist | | | | No |
| 2 | 208100000X | Physical Medicine & Rehabilitation | | | | No |
| 3 | 207XS0106X | Orthopaedic Surgery | Hand Surgery | | | No |
| 4 | 363A00000X | Physician Assistant | | | | No |
| 5 | 207XS0117X | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | | | No |
| 6 | 207XX0004X | Orthopaedic Surgery | Foot and Ankle Surgery | | | No |
| 7 | 2251X0800X | Physical Therapist | Orthopedic | | | No |
| 8 | 207XX0005X | Orthopaedic Surgery | Sports Medicine | | | No |
| 9 | 207XS0114X | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery | | | No |
| 10 | 207X00000X | Orthopaedic Surgery | | | | Yes |