Active NPI
Paige Lynne Blue, PT
- Physical Therapist
- Pinehurst, NC
National Provider Identifier
1245274711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5557
- Practice address
- 5 First VLG
Pinehurst Surgical Rehabilitation
Pinehurst, NC 28374-8724 - Phone
- (910) 235-2713
- NPI assigned
- Jun 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5557 | NC | Primary |
Addresses
Primary practice location
5 First VLG
Pinehurst Surgical Rehabilitation
Pinehurst, NC 28374-8724
Mailing address
250 Fairway Dr
Southern Pines, NC 28387-2712
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5557 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1245274711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 FAIRWAY DR",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283872712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 FIRST VLG",
"address_2": "PINEHURST SURGICAL REHABILITATION",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748724",
"telephone_number": "910-235-2713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUE",
"first_name": "PAIGE",
"middle_name": "LYNNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "5557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.