Individual provider · Type 1 NPI

Doug Derusse

Physical Therapy Assistant · Aztec, NM

NPI number 1548166341 Active

Practice location

312 Ruins Rd Lot 49
Aztec, NM 87410-1624

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPT-2023-0013 (NM)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1548166341

Doug Derusse's National Provider Identifier is 1548166341, issued on Oct 17, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Aztec, NM. The record was last updated on Oct 17, 2026.