Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DOUG DERUSSE
NPI 1548166341
Physical Therapy Assistant in Aztec, NM

Active since October 17, 2026
312 RUINS RD LOT 49, AZTEC, NM 87410(620) 210-0000 Get Directions Write a Review

NPPES record added: October 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Doug Derusse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUG DERUSSE (NPI 1548166341) is an individual physical therapy assistant in Aztec, New Mexico, licensed in New Mexico (PT-2023-0013) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1548166341
Entity TypeIndividualMale
Primary Taxonomy225200000X
Provider Legal NameDOUG DERUSSE
Location Address312 RUINS RD LOT 49Aztec, NM 87410-1624
Mailing Address312 Ruins Rd Lot 49Aztec, NM 87410-1624
Sole ProprietorYes
Enumeration DateOctober 17, 2026
NPPES CertifiedOctober 17, 2026
✔ NPI 1548166341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License✔ Licensed in NM · PT-2023-0013
Definition
(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 the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
312 RUINS RD LOT 49, Aztec, NM 87410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Doug Derusse's NPI number?

The NPI number for Doug Derusse is 1548166341. It was assigned to this individual provider in the NPPES registry on October 17, 2026.

Where is Doug Derusse located?

Doug Derusse practices at 312 Ruins Rd Lot 49, Aztec, NM 87410. The listed phone number is (620) 210-0000.

What is Doug Derusse's specialty?

The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.

When was this NPI record last updated?

The NPPES record for Doug Derusse was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.