Active NPI
Paige Blackmon Stivers, PT, DPT
- Physical Therapist
- Olathe, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-07398
- Practice address
- 1061 E 151St St
Olathe, KS 66062-3417 - Phone
- (913) 829-3133
- NPI assigned
- Jan 10, 2019
- Last updated
- Aug 21, 2023
- 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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3123299 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings, Inc. | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Current | 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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Lansing, KS
- NPI 1104336338
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Mission, KS
- NPI 1831717370
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Lenexa, KS
- NPI 1053371898
-
dba Baylor Institute for Rehabilitation
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
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.