A licensed physical therapist who has demonstrated specialized knowledge and skills pertaining to the workplace, occupational demands, prevention of work-related injury, management of the worker with job-related symptoms or participation restrictions, and provides individual, group or population level evaluation, intervention and consulting to enhance worker performance.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Ergonomics | 2251E1200X |
| Geriatrics | 2251G0304X | |
| Orthopedic | 2251X0800X | |
| Rehabilitation Practitioner | 225400000X | |
| Sports | 2251S0007X |
* Indicates primary specialty
| NPI Number | 1396824579 |
| Credentials | PT, BS,MS |
| Entity | Individual |
| Enumeration date | 11/06/2006 |
| Last updated | 09/11/2025 - About 9 months ago |
| Sole proprietor1 | Yes |
| Identifiers | n/a |
| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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