Vida Therapy Group, Llc | |
122 S Gold Ave Ste A, Deming, NM 88030-3755 | |
(575) 283-0200 | |
(575) 283-0238 |
Full Name | Vida Therapy Group, Llc |
---|---|
Type | Facility |
Speciality | Occupational Therapist |
Location | 122 S Gold Ave Ste A, Deming, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619621000 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Matthew J Aguilera |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720579410 PECOS PAC ID: 4486909736 Enrollment ID: I20180611000569 |
Provider Name | Lucia Bartovic |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720159148 PECOS PAC ID: 6305895434 Enrollment ID: I20200622000394 |
Provider Name | Adam Westenhofer |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679995625 PECOS PAC ID: 9931472230 Enrollment ID: I20220712002103 |
Provider Name | Arnie Aronson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811900152 PECOS PAC ID: 4486743473 Enrollment ID: I20230329002818 |
Mailing Address | Practice Location Address |
---|---|
Vida Therapy Group, Llc 122 S Gold Ave Ste A, Deming, NM 88030-3755 Ph: (575) 283-0200 | Vida Therapy Group, Llc 122 S Gold Ave Ste A, Deming, NM 88030-3755 Ph: (575) 283-0200 |
Evangeline R Randall, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1321 E Poplar St, Deming, NM 88030 Phone: 575-546-5951 Fax: 575-546-5994 | |
Mr. Adam Westenhofer, OTR/L, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 S Gold Ave Ste A, Deming, NM 88030 Phone: 575-283-0200 Fax: 575-283-0238 | |
Mrs. Virginia Nicholls Aldea, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 N Pearl St, Deming, NM 88030 Phone: 575-544-4663 Fax: 575-544-4665 |