Respiratory, Developmental, Rehabilitative and Restorative Service Providers / 225100000X
Individual · classification · Medicare specialty 65
225100000X Physical Therapist
225100000X is the taxonomy code for Physical Therapist, in the NUCC group “Respiratory, Developmental, Rehabilitative and Restorative Service Providers”. It is a code for individual providers — the kind used on a Type 1 NPI. Medicare maps it to specialty 65, Physical Therapist in Private Practice, under which 113,980 practitioners are enrolled.
- 1Taxonomy code 225100000X
- 2Level Classification
- 3Medicare specialty 65 Physical Therapist in Private Practice
- 4Codes in this group 82
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
— NUCC Health Care Provider Taxonomy, version 26.1
Where 225100000X sits
- Group: Respiratory, Developmental, Rehabilitative and Restorative Service Providers — code 31 of 82 in the group
- Classification: Physical Therapist 225100000X
This is the general code for Physical Therapist. 10 more specific codes sit beneath it; pick one of those when the provider's training or certification matches it, and this one otherwise. A provider may report more than one taxonomy code on an NPI but marks one as primary.
Medicare
CMS's taxonomy crosswalk links 225100000X to Medicare specialty 65 (Physical Therapist in Private Practice). That specialty — not the taxonomy code itself — is what Medicare enrollment records and uses for payment. 113,980 practitioners are enrolled under it nationally, and 10 other taxonomy codes map to the same specialty.
Other codes under the same Medicare specialty: 2251C2600X Cardiopulmonary Physical Therapist; 2251E1200X Ergonomics Physical Therapist; 2251E1300X Clinical Electrophysiology Physical Therapist; 2251G0304X Geriatric Physical Therapist; 2251H1200X Hand Physical Therapist; 2251H1300X Human Factors Physical Therapist; 2251N0400X Neurology Physical Therapist; 2251P0200X Pediatric Physical Therapist; and 2 more.
Related codes
| Code | Physical Therapist — specializations |
|---|---|
| 2251C2600X | Cardiopulmonary |
| 2251E1300X | Electrophysiology, Clinical |
| 2251E1200X | Ergonomics |
| 2251G0304X | Geriatrics |
| 2251H1200X | Hand |
| 2251H1300X | Human Factors |
| 2251N0400X | Neurology |
| 2251X0800X | Orthopedic |
| 2251P0200X | Pediatrics |
| 2251S0007X | Sports |
History of 225100000X
NUCC's earliest recorded change to 225100000X is from 2020 (definition modified).
- 2020-01-01 — definition modified
Similar codes in other groups
If 225100000X is not quite right, these codes in other groups share a word with it — often the same field practised by a different kind of provider:
- 208100000X Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians)
- 101200000X Drama Therapist (Behavioral Health & Social Service Providers)
- 106H00000X Marriage & Family Therapist (Behavioral Health & Social Service Providers)
- 102X00000X Poetry Therapist (Behavioral Health & Social Service Providers)
- 125K00000X Advanced Practice Dental Therapist (Dental Providers)
- 125J00000X Dental Therapist (Dental Providers)
Find providers with 225100000X
Using 225100000X
The code goes in the taxonomy field of the NPI application in NPPES, and on claims where a payer asks for it — box 24J (shaded) or 33b on the CMS-1500 with the ZZ qualifier, or the PRV segment of an 837 electronic claim. Payers match it against the taxonomy on the NPI record and, for Medicare, against the specialty on the enrollment, so all three should agree. To see which code a provider uses, search their NPI in the lookup.
Sources: NUCC Health Care Provider Taxonomy code set, version 26.1 (CSV); CMS Medicare Provider and Supplier Taxonomy Crosswalk, August 2026; CMS Medicare Fee-For-Service Public Provider Enrollment, extract of 2026-09-29. Checked 2026-10-24. Methodology.