Can Assistants Get NPI Numbers
With several insurance carriers (Medicare, TRICARE, Humana) implementing payment reductions in Calendar Year 2022 when services are provided in whole or in part by a physical therapist assistant (PTA) or occupational therapy assistant, I am receiving several questions regarding can PTAs and OTAs get a National Provider Identification (NPI) number and if yes, can a PTA or OTA then enroll in the Medicare program or become credentialed with private/commercial insurance carriers. In this article, I will provide the answers to these questions.
Question
Can a PTA or OTA obtain a NPI number?
Answer
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Question
What information do I need when completing the NPI application?
Answer
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Question
Can a PTA or OTA enroll in the Medicare program and bill for their services under their own NPI number?
Answer
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Question
How does the Medicare program know if services were provided by a physical therapist or a PTA?
Answer
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Question
How does the Medicare program know if services were provided by a occupational therapist or an OTA?
Answer
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Question
Do private/commercial insurance carriers credential a PTA or OTA and allow a PTA or OTA to bill for their services under their own NPI number on a 1500-claim form?
Answer
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