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 |
| Physical Therapist | 225100000X |
* Indicates primary specialty
| NPI Number | 1124081088 |
| Credentials | MSPT (Master of Science in Physical Therapy) |
| Entity | Individual |
| Enumeration date | 04/10/2006 |
| Last updated | 09/03/2024 - More than a year 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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