| 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 |
| 82271551 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Matthew J Aguilera |
|---|---|
| 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 |
| Provider Name | Marina Janell Martinez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649013921 PECOS PAC ID: 6800332156 Enrollment ID: I20240723000524 |
| Provider Name | Crysel Replogle |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649402496 PECOS PAC ID: 1355873167 Enrollment ID: I20241017004369 |
| Provider Name | Kamran Feroze |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225847296 PECOS PAC ID: 6507891694 Enrollment ID: I20250130000779 |
| 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 |