Adam Westenhofer, OTR/L, CHT – Occupational Therapist

Key facts

NPI: 1679995625
Entity type: Individual (NPI type 1)
Primary specialty: Occupational Therapist 225X00000X
License: 3164 (NM)
Practice address: 122 S Gold Ave Ste a
Deming, NM 88030-3755
Phone: (575) 283-0200
Fax: (575) 283-0238
NPI assigned: Jan 10, 2014
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Vida Therapy Group, LLC Occupational Therapist · Deming, NM · NPI 1619621000

Medicare reassignment Care Compare group NPD NM · OCCUPATIONAL THERAPIST

Medicare Care Compare profile

Specialty: Occupational Therapist in Private Practice
Education: University of Alabama School of Medicine, 2013
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Vida Therapy Group, LLC (3 clinicians)

Practice addresses (Care Compare)

122 S Gold Ave
Suite a
Deming, NM 88030-3755
Phone (575) 283-0200

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NM

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20220712002103	NM	Practitioner - Occupational Therapist in Private Practice	9931472230	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
11200	NC	MD	Massage Therapist
3164	NM	MD	Occupational Therapist

Practice roles

Organization	Specialty	Status	New patients
Vida Therapy Group, LLC	Occupational Therapist	Current since Dec 1, 2021	Accepting new patients

Locations

122 S Gold Ave
Ste A
Deming, NM 88030
Phone (575) 283-0200

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapist	225X00000X	3164	NM	Yes

Addresses

Primary practice location

122 S Gold Ave Ste a
Deming, NM 88030-3755

Mailing address

122 S Gold Ave Ste a
Deming, NM 88030-3755
Phone (575) 283-0200

Other providers in Deming, NM

Terri A Vlahovich, RN
Wal-Mart Stores East LP
Wal-Mart Stores East, LP
Walgreen Co
Pe Gerard Weideman, MS, MSW, LPCC, LADAC
Margaret Mary Western, M.D.
Wheelchair and Walker Rentals, Inc.
George Weldon Williams, DO
Trevor A Williams, DMD
Samantha T Willis, LBSW

All providers in Deming, NM · Occupational Therapist in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.