Active NPI
Tiffany Charmaine Paige, PHYSICAL THERAPIST
- Physical Therapist
- Florence, SC
National Provider Identifier
1225263965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12087
- Practice address
- 4015 Southborough Rd
Florence, SC 29501-8814 - Phone
- (843) 245-0579
- NPI assigned
- May 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 12087 | NC | Primary |
Addresses
Primary practice location
4015 Southborough Rd
Florence, SC 29501-8814
Mailing address
4015 Southborough Rd
Florence, SC 29501-8814
Phone (843) 245-0579
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12087 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243296000000",
"number": "1225263965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 SOUTHBOROUGH RD",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295018814",
"telephone_number": "843-245-0579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 SOUTHBOROUGH RD",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295018814",
"telephone_number": "843-245-0579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIGE",
"first_name": "TIFFANY",
"middle_name": "CHARMAINE",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-26",
"last_updated": "2009-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "12087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.