Active NPI
Paige Julia Edwards, DO
- Occupational Therapist
- Saint Matthews, SC
National Provider Identifier
1104633429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7445
- Practice address
- 601 Dantzler St
Saint Matthews, SC 29135-1522 - Phone
- (803) 655-7101
- NPI assigned
- Dec 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056015702 | IL | |
| Occupational Therapist | 225X00000X | 7445 | SC | Primary |
Addresses
Primary practice location
601 Dantzler St
Saint Matthews, SC 29135-1522
Mailing address
2106 Jonathan CT
Hudson, OH 44236-4204
Phone (330) 322-6012
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056015702 | IL | MD | Occupational Therapist |
| 7445 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1104633429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 JONATHAN CT",
"city": "HUDSON",
"state": "OH",
"postal_code": "442364204",
"telephone_number": "330-322-6012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 DANTZLER ST",
"city": "SAINT MATTHEWS",
"state": "SC",
"postal_code": "291351522",
"telephone_number": "803-655-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "PAIGE",
"middle_name": "JULIA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-11",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056015702",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "7445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Matthews, SC
- Mary Elizabeth Doucette, LMT
- Dva Healthcare Renal Care Inc
- Earl B Hartzog DMD PA
- Edisto Regional Health Services
- Edisto Regional Health Services Inc.
- Christina Walker Elmore, RD,
- Cheryl D English, MSW
- Everside Health-Zeus St. Matthews
- Every Vet Counts Psychological Care LLC
- Faithful Adult Daycare Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.