Susan Worthington, PT is a
Physical Therapist based in Ojo Caliente, New Mexico. Susan Worthington is licensed to practice in New Mexico (license number 1566) and her current practice location is
5 County Rd. 179, Ojo Caliente, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 927-1101.
NPI number for Susan Worthington is 1679621767 and her current mailing address is Po Box 88, 5 County Rd. 179, Ojo Caliente, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679621767.
Healthcare Provider's Profile
| Full Name | Susan Worthington |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
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| Location | 5 County Rd. 179, Ojo Caliente, New Mexico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679621767
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Susan Worthington such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679621767 | NPI | - | NPPES |
| Z0845 | Medicaid | NM | |
| 1566 | Other | NM | PT LICENSE |
| 59251026 | Other | NM | DD WAIVER PROVIDER NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 1566 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Worthington is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Susan Worthington, PT Po Box 88, 5 County Rd. 179, Ojo Caliente, NM 87549-0088 Ph: (505) 927-1101 | Susan Worthington, PT 5 County Rd. 179, Ojo Caliente, NM 87549 Ph: (505) 927-1101 |
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