Individual provider Active NPI

Paige Garner Chisholm

  • Physical Therapist
  • Southern Pines, NC
National Provider Identifier
1063375509
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P24549 Issued in NC
Practice address
340 Commerce Ave Ste 15
Southern Pines, NC 28387-7168
Phone
(910) 637-0073
NPI assigned
Dec 3, 2025
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P24549 NC Primary

Addresses

Primary practice location

340 Commerce Ave Ste 15
Southern Pines, NC 28387-7168

Mailing address

340 Commerce Ave Ste 15
Southern Pines, NC 28387-7168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260122002271 NC Practitioner - Physical Therapist in Private Practice 8123505054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ostert Physical TherapyGroup PAC ID 8729456512, 4 clinicians

Practice addresses (Care Compare)

340 Commerce Ave
Suite 15
Southern Pines, NC 28387-7168
Phone (910) 637-0073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P24549NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ostert Physical Therapy Physical Therapist CurrentSince Dec 15, 2025 Accepting new patients

Locations

340 Commerce Ave
Ste 15
Southern Pnes, NC 28387
Phone (910) 637-0073

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1063375509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 COMMERCE AVE STE 15",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 COMMERCE AVE STE 15",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877168",
            "telephone_number": "910-637-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "PAIGE",
        "middle_name": "GARNER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.