Individual provider Active NPI

Paige Cassidy

  • Occupational Therapist
  • Portsmouth, OH
National Provider Identifier
1205454394
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT010952 Issued in OH
Practice address
1634 11TH St
Portsmouth, OH 45662-4526
Phone
(740) 355-7102
NPI assigned
Jul 6, 2020
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT010952 OH Primary

Addresses

Primary practice location

1634 11TH St
Portsmouth, OH 45662-4526

Mailing address

1634 11TH St
Portsmouth, OH 45662-4526

Other identifiers 1

IdentifierTypeStateIssuer
OT010952OtherOHOH LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201210002660 OH Practitioner - Occupational Therapist in Private Practice 9032521398 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT010952OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Community Health CurrentSince Nov 3, 2020 Accepting new patients
Compass Community Health CurrentSince Nov 3, 2020 Accepting new patients
Compass Community Health Past Accepting new patients

Locations

1634 11th St
Portsmouth, OH 45662
Phone (740) 355-7102

1656 Coles Blvd
#A
Portsmouth, OH 45662
Phone (740) 355-7102

Interoperability endpoints

  • Direct secure messaging: paige.cassidy.p1@direct.compass-share.nextgenshare.com

Organizations & group practices 3

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": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1205454394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 11TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 11TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624526",
            "telephone_number": "740-355-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT010952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH LICENSE",
            "identifier": "OT010952",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.