Paige Madison Blue

Individual provider Active NPI Speech-Language Assistant · Edmond, OK

NPI 1285592287 · NPPES record last updated Jan 10, 2026

Key facts

NPI
1285592287
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
SLPA425 (OK)
Practice address
501 S Coltrane Rd
Edmond, OK 73034-6714
Phone
(580) 318-9415
NPI assigned
Jan 10, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SLPA425OKMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ok-Theraplay Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA425 OK Yes

Addresses

Primary practice location

501 S Coltrane Rd
Edmond, OK 73034-6714

Mailing address

19705 Taggert Dr
Edmond, OK 73012-4503
Phone (405) 933-7393

Other practice location 1

12617 S McLoud Rd # D
McLoud, OK 74851-8509
Phone (580) 318-9415

Other providers in Edmond, OK

All providers in Edmond, OK · Speech-Language Assistant in Oklahoma

Sources for this page

Verify at the official NPI Registry.