| Mr Adam Westenhofer, OTR/L, CHT | |
|
122 S Gold Ave Ste A, Deming, NM 88030-3755 | |
| (575) 283-0200 | |
| (575) 283-0238 |
| Full Name | Mr Adam Westenhofer |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 13 Years |
| Location | 122 S Gold Ave Ste A, Deming, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679995625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 3164 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vida Therapy Group, Llc | 7810377579 | 4 |
| Provider Name | Vida Therapy Group, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1619621000 PECOS PAC ID: 7810377579 Enrollment ID: O20220712001814 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Adam Westenhofer, OTR/L, CHT 122 S Gold Ave Ste A, Deming, NM 88030-3755 Ph: (575) 283-0200 | Mr Adam Westenhofer, OTR/L, CHT 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 | |
Vida Therapy Group, Llc Occupational Therapist Medicare: Medicare Enrolled 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 |