Active NPI
Michele Paden, PT
- Physical Therapist
- Jefferson City, MO
National Provider Identifier
1104995083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 101394
- Practice address
- 2701 W Edgewood Dr Ste 105
Jefferson City, MO 65109-5890 - Phone
- (573) 761-5130
- NPI assigned
- Nov 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 101394 | MO | Primary |
Addresses
Primary practice location
2701 W Edgewood Dr Ste 105
Jefferson City, MO 65109-5890
Mailing address
2036 Sterling Ridge Dr
Holts Summit, MO 65043-1843
Phone (816) 935-0293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104995083 | Other | MO | NPI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mpaden@selectmedical.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | mpaden@selectmedical.com | Direct |
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 |
|---|---|---|---|
| 101394 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Cape Girardeau, MO
- NPI 1316907884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1104995083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2036 STERLING RIDGE DR",
"city": "HOLTS SUMMIT",
"state": "MO",
"postal_code": "650431843",
"telephone_number": "816-935-0293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 W EDGEWOOD DR STE 105",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651095890",
"telephone_number": "573-761-5130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADEN",
"first_name": "MICHELE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "101394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1104995083",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mpaden@selectmedical.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2701 W Edgewood Dr Ste 105",
"city": "Jefferson City",
"state": "MO",
"country_code": "US",
"postal_code": "651095890",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mpaden@selectmedical.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2701 W Edgewood Dr Ste 105",
"city": "Jefferson City",
"state": "MO",
"country_code": "US",
"postal_code": "651095890",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.