Active NPI
Paige M Farmer, RKT
- Kinesiotherapist
- Timberlake, OH
National Provider Identifier
1043778616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- License
- 2048
- Practice address
- 53 Keewaydin Dr
Timberlake, OH 44095-1919 - Phone
- (440) 667-1710
- NPI assigned
- Mar 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | 2048 | MS | Primary |
Addresses
Primary practice location
53 Keewaydin Dr
Timberlake, OH 44095-1919
Mailing address
53 Keewaydin Dr
Timberlake, OH 44095-1919
Phone (440) 667-1710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2048 | MS | MD | Kinesiotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551571200000",
"number": "1043778616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 KEEWAYDIN DR",
"city": "TIMBERLAKE",
"state": "OH",
"postal_code": "440951919",
"telephone_number": "440-667-1710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 KEEWAYDIN DR",
"city": "TIMBERLAKE",
"state": "OH",
"postal_code": "440951919",
"telephone_number": "440-667-1710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER",
"first_name": "PAIGE",
"middle_name": "M",
"credential": "RKT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-03",
"last_updated": "2019-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "226300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Kinesiotherapist",
"state": "MS",
"license": "2048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Timberlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.