Active NPI
Paige Marie Vetch, OTR/L
- Pediatric Occupational Therapist
- Howard Lake, MN
National Provider Identifier
1063002608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 106424
- Practice address
- 720 9TH Ave
Howard Lake, MN 55349-4545 - Phone
- (320) 543-1122
- NPI assigned
- Jan 18, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 106424 | MN | Primary |
Addresses
Primary practice location
720 9TH Ave
Howard Lake, MN 55349-4545
Mailing address
343 Arlanda Ave
Buffalo, MN 55313-1901
Phone (763) 229-0915
Other names 1
- Paige Marie Nelles
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106424 | MN | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1063002608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 ARLANDA AVE",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553131901",
"telephone_number": "763-229-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 9TH AVE",
"city": "HOWARD LAKE",
"state": "MN",
"postal_code": "553494545",
"telephone_number": "320-543-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VETCH",
"first_name": "PAIGE",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-18",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MN",
"license": "106424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAIGE",
"last_name": "NELLES",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Howard Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.