Individual provider Active NPI

Paige Blackmon Stivers, PT, DPT

  • Physical Therapist
  • Olathe, KS
National Provider Identifier
1114490349
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-07398 Issued in KS
Practice address
1061 E 151St St
Olathe, KS 66062-3417
Phone
(913) 829-3133
NPI assigned
Jan 10, 2019
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3123299 TX
Physical Therapist 225100000X 11-07398 KS Primary

Addresses

Primary practice location

1061 E 151St St
Olathe, KS 66062-3417

Mailing address

701 W Broad St Ste 100
Bethlehem, PA 18018-5229
Phone (913) 829-3133

Other practice location 1

15917 Antioch Rd
Overland Park, KS 66223-2924
Phone (913) 239-9539

Other practice location 2

4001 Indian Creek Pkwy
Overland Park, KS 66207-4030
Phone (913) 385-0075

Other practice location 3

1333 Meadowlark Ln Ste 104
Kansas City, KS 66102-1200
Phone (913) 287-8815

Other practice location 4

5922 Barkley St Ste 201B
Mission, KS 66202-3269
Phone (913) 229-9440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230914002254 KS Practitioner - Physical Therapist in Private Practice 5193189736 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3123299TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings, Inc. Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jul 24, 2023 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Jul 24, 2023 Accepting new patients
Select Physical Therapy Holdings, Inc. Past Accepting new patients
Bir JV LLP Past Accepting new patients

Locations

1333 Meadowlark Ln
Ste 104
Kansas City, KS 66102
Phone (913) 287-8815

5922 Barkley St
Mission, KS 66202
Phone (913) 229-9440

5922 Barkley St
Ste 201B
Mission, KS 66202
Phone (913) 229-9440

1061 E 151st St
Olathe, KS 66062
Phone (913) 829-3133

15917 Antioch Rd
Overland Park, KS 66223
Phone (913) 239-9536

4001 Indian Creek Pkwy
Overland Park, KS 66207
Phone (913) 385-0075

Organizations & group practices 5

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": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1114490349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W BROAD ST STE 100",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185229",
            "telephone_number": "913-829-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 E 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623417",
            "telephone_number": "913-829-3133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15917 Antioch Rd",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662232924",
            "country_code": "US",
            "telephone_number": "913-239-9539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 Indian Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662074030",
            "country_code": "US",
            "telephone_number": "913-385-0075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 Meadowlark Ln Ste 104",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661021200",
            "country_code": "US",
            "telephone_number": "913-287-8815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5922 Barkley St Ste 201B",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "KS",
            "postal_code": "662023269",
            "country_code": "US",
            "telephone_number": "913-229-9440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIVERS",
        "first_name": "PAIGE",
        "middle_name": "BLACKMON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3123299",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.