A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Orthopedic | 2251X0800X |
| Orthotics/Prosthetics Fitter | 225000000X | |
| Physical Therapist | 225100000X |
* Indicates primary specialty
| NPI Number | 1083802409 |
| Credentials | PT, OCS, CSCS |
| Entity | Individual |
| Enumeration date | 10/10/2007 |
| Last updated | 01/30/2017 - About 9 years ago |
| Sole proprietor1 | Yes |
| Identifiers |
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| 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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