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 | 235Z00000X | Speech-Language Pathologist | | | | No |
| 2 | 251C00000X | Day Training, Developmentally Disabled Services | | | CALIFORNIA | No |
| 3 | 2081P0301X | Physical Medicine & Rehabilitation | Brain Injury Medicine | | | No |
| 4 | 225100000X | Physical Therapist | | | | No |
| 5 | 225X00000X | Occupational Therapist | | | | No |
| 6 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 7 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 8 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 9 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 10 | 261QP2000X | Clinic/Center | Physical Therapy | | | No |
| 11 | 261QR0400X | Clinic/Center | Rehabilitation | | | No |
| 12 | 208100000X | Physical Medicine & Rehabilitation | | | | Yes |