Paige Alexandria Mundt, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2147682 Issued in TX

Practice address

900 S Temple Dr
Diboll, TX 75941-2725

Phone

(936) 829-5501

NPI assigned

Oct 22, 2019

Last updated

Oct 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1215570361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6063 FM 841",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759014639",
            "telephone_number": "936-240-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S TEMPLE DR",
            "city": "DIBOLL",
            "state": "TX",
            "postal_code": "759412725",
            "telephone_number": "936-829-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDT",
        "first_name": "PAIGE",
        "middle_name": "ALEXANDRIA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2147682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Jade Mason, LVN
• Johnny Mason Jr., D.D.S.
• Monica Renee McGuire, RBT
• Robin Lynn Klimpel McKnight, BCBA, LBA, LPC
• Akshay Manoj Menon, DDS
• Ashley Dawn Norris
• Arpitkumar A Patel
• Caitlyn Phillips
• Kolbie Rashell Sanders
• Vineet Sharma, DDS

• Physical Therapy Assistant in Diboll, TX
• Providers in Diboll, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.