Erin M Fusting, DPT

Individual provider Active NPI Physical Therapist · El Prado, NM

NPI 1770069478 · NPPES record last updated Nov 23, 2021

Key facts

NPI
1770069478
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
1307 Paseo del Pueblo Norte
El Prado, NM 87529
Phone
(575) 770-5661
Fax
(575) 221-0424
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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 Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Timothy D Peterson, MD PC (5 clinicians)

Practice addresses (Care Compare)

PO Box
Suite 67
Taos Ski Valley, NM 87525-0067

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220214001287 NM Practitioner - Physical Therapist in Private Practice 8426308834 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Finish LLC Current
since Nov 16, 2021
Accepting new patients
Transformation Therapeutics, PLLC Physical Therapist Past
since Oct 29, 2018
Accepting new patients
Corvallis Sport and Spine Physical Therapy Inc Physical Therapist Past
since Jul 16, 2018
Accepting new patients

Interoperability endpoints

  • Direct secure messaging: erin.fusting.1@2956.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

1307 Paseo del Pueblo Norte
El Prado, NM 87529

Mailing address

623 Academy LN
Taos, NM 87571-6416
Phone (970) 708-7031

Other providers in El Prado, NM

All providers in El Prado, NM · Physical Therapist in New Mexico

Sources for this page

Verify at the official NPI Registry.