The Health Care Provider Taxonomy code is a ten-character alphanumeric code that is unique. Provider Grouping, Classification, and Area of Specialization are the three unique “Levels” of the code set.
On July 1st and January 1st of each year, the Health Care Provider Taxonomy code set is published. The July publication goes into force on October 1st, while the January publication goes into effect on April 1st.
The period between the publication’s release and the effective date is known as the implementation period, and it is used to give providers, payers, and vendors time to implement any changes into their systems.
Taxonomy Code for Physical Therapy
Physical Therapist Taxonomy Code: 225100000X
A physical therapist is a healthcare professional who specializes in the treatment of disorders using physical agents and methods such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation, and light to assist in the rehabilitation of patients and the restoration of normal function.
Where do I find my taxonomy code?
Use the National Uniform Claim Committee (NUCC) code setlist to identify the taxonomy code that best describes your provider type, category, or specialty.
How often are taxonomy codes updated?
The code set is published and released twice a year, in January and July.
Significance of Taxonomy Code
The taxonomy number is a 10-digit alphanumeric code that is assigned to each general or specialized healthcare profession. When filing an insurance claim, individuals must find the correct taxonomy code for their health care provider. If you provide health care services, you must select the appropriate taxonomy code to get paid.
As a provider, do I need to know my taxonomy code?
If you wish to work as a Medicare provider, the answer is yes.
You must first enroll in the Medicare program to become a Medicare provider and file Medicare claims. You must have an NPI to enroll. To obtain an NPI, you must include the taxonomy code that corresponds to your classification and specialty in your application.