Active NPI
Paige Carissa Chenoweth-Allen, PT, DPT
- Physical Therapist
- Panama City Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29954
- Practice address
- 12111 Panama City Beach Pkwy
Panama City Beach, FL 32407-2609 - Phone
- (850) 236-7497
- Fax
- (850) 236-7499
- NPI assigned
- Feb 24, 2012
- Last updated
- Jul 21, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 38588 | CA | |
| Physical Therapist | 225100000X | 2017018683 | MO | |
| Physical Therapist | 225100000X | 29954 | FL | Primary |
Addresses
Primary practice location
12111 Panama City Beach Pkwy
Panama City Beach, FL 32407-2609
Mailing address
4146 Juniata St
Saint Louis, MO 63116-3931
Phone (951) 359-6172
Other practice location 1
11300 Sorrento Valley Rd Ste 101
San Diego, CA 92121-1329
Phone (858) 452-0300
Other names 1
- Paige Carissa Chenoweth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 38588 | CA | MD | Physical Therapist |
| 29954 | FL | MD | Physical Therapist |
| 2017018683 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Pilates of Torrey Hills Inc. | Physical Therapist | Past | Accepting new patients |
Locations
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167
Organizations & group practices 2
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.
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
dba pilates people torrey hills
- Physical Therapist
- San Diego, CA
- NPI 1285746438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1255605093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4146 JUNIATA ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631163931",
"telephone_number": "951-359-6172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12111 PANAMA CITY BEACH PKWY",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324072609",
"telephone_number": "850-236-7497",
"fax_number": "850-236-7499"
}
],
"practiceLocations": [
{
"address_1": "11300 Sorrento Valley Rd Ste 101",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921211329",
"country_code": "US",
"telephone_number": "858-452-0300",
"fax_number": "858-452-0600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHENOWETH-ALLEN",
"first_name": "PAIGE",
"middle_name": "CARISSA",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 38588",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2017018683",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "29954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAIGE",
"last_name": "CHENOWETH",
"middle_name": "CARISSA",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Panama City Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.