MEDICARE: ABILITIES WORKS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	261QP2000X	Physical Therapy Clinic/Center
3	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)
4	261QX0100X	Occupational Medicine Clinic/Center
5	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1457042061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABILITIES WORKS LLC

Provider Business Mailing Address
First Line	:	324 ADAMS ST SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-2837
Country	:	US
Telephone Number	:	505-526-0130
Fax Number	:

Provider Business Practice Location Address
First Line	:	324 ADAMS ST SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-2837
Country	:	US
Telephone Number	:	505-526-0130
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MANDY STALLSWORTH
Credential	:
Telephone Number	:	505-526-0130

Provider Enumeration Date	:	05/16/2023
Last Update Date	:	05/16/2023

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Directions to “ABILITIES WORKS LLC ” Practice Location

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