Subject Numbers Regarding Health Provider Authorizations

Authorization No. PT039699-4W

December 7, 2022

Please be advised that physical therapist (PT) Rebecca Menard has resigned her authorization to treat injured workers in the New York State workers' compensation system effective December 5, 2022. PT Menard's last known practice addresses are:

Guthrie Medical Group
720 Willow Avenue
Ithaca, New York 14850

and

Guthrie HealthWorks Wellness & Fitness Center
9768 Liberty Drive
Painted Post, New York 14870

P.T. Menard is prohibited from rendering treatment and care to injured workers, and from conducting reviews of records regarding variance requests pursuant to 12 NYCRR § 324.3(b)(2)(ii)(a). Reports submitted by PT Menard for services rendered prior to December 5, 2022, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine P.T. Menard for services rendered prior to December 5, 2022, should not be denied due to her resignation.

Any questions regarding the authorized lists should be referred to the Medical Director's Office at 1 (800) 781-2362.