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 | 104100000X | Social Worker | | | | No |
| 2 | 163WP0808X | Registered Nurse | Psychiatric/Mental Health | | | No |
| 3 | 222Q00000X | Developmental Therapist | | | | No |
| 4 | 224Z00000X | Occupational Therapy Assistant | | | | No |
| 5 | 225100000X | Physical Therapist | | | | No |
| 6 | 101Y00000X | Counselor | | | | No |
| 7 | 225200000X | Physical Therapy Assistant | | | | No |
| 8 | 225X00000X | Occupational Therapist | | | | No |
| 9 | 235Z00000X | Speech-Language Pathologist | | 12329 | FLORIDA | No |
| 10 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 11 | 235Z00000X | Speech-Language Pathologist | | 2202002762 | VIRGINIA | Yes |