| Name | Value |
|---|---|
| PROVIDER TYPE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| CLASSIFICATION | Physical Therapist |
| DEFINITION | A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical Therapy, who has demonstrated specialized knowledge and skill in cardiovascular and pulmonary anatomy and physiology medicine, rehabilitation, critical care, and emergency and trauma. |
| AREA OF SPECIALIZATION | Cardiopulmonary |
| STATUS | Active |
| VA CODE | V130301 |
| X12 CODE | 2251C2600X |
| SPECIALTY CODE | 65 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5255111 |
| EFFECTIVE DATE/TIME |
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