Caroline Ludwig, PT, DPT

Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Edgewood, NM

NPI 1609395136 · NPPES record last updated Feb 4, 2022

Key facts

NPI
1609395136
Entity type
Individual (NPI type 1)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
License
5092 (NM)
Practice address
1 Linnie CT
Edgewood, NM 87015-9125
Phone
(505) 286-7838
Fax
(505) 286-8025
NPI assigned
Sep 15, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5092NMMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Element Physical Therapy & Wellness LLC Current Accepting new patients
Active Solutions Therapy Services, Inc Current
since Feb 1, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5092 NM Yes

Addresses

Primary practice location

1 Linnie CT
Edgewood, NM 87015-9125

Mailing address

PO Box 896
Edgewood, NM 87015-0896
Phone (505) 286-7838

Other providers in Edgewood, NM

All providers in Edgewood, NM · Physical Medicine & Rehabilitation Physician in New Mexico

Sources for this page

Verify at the official NPI Registry.