Individual provider Active NPI

Paige McCracken, DPT

  • Physical Therapist
  • Pueblo, CO
National Provider Identifier
1306638192
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
279 S Purcell Blvd # 114
Pueblo, CO 81007-5083
Phone
(719) 547-2481
Fax
(719) 547-2487
NPI assigned
May 19, 2025
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CO Primary

Addresses

Primary practice location

279 S Purcell Blvd # 114
Pueblo, CO 81007-5083

Mailing address

279 S Purcell Blvd Ste 114
Pueblo, CO 81007-5083
Phone (719) 547-2481

Other practice location 1

7622 McLaughlin Rd
Peyton, CO 80831-4710
Phone (719) 495-3133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918000160 CO Practitioner - Physical Therapist in Private Practice 0941704431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

279 S Purcell Blvd
Suite 114
Pueblo, CO 81007-5083
Phone (719) 547-2481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Falcon Physical Therapy and Fitness Physical Therapist CurrentSince Sep 4, 2025 Accepting new patients
Falcon Physical Therapy and Fitness Physical Therapist CurrentSince May 25, 2025 Accepting new patients
Falcon Physical Therapy and Fitness Physical Therapist CurrentSince Sep 4, 2025 Accepting new patients

Locations

3586 Hartsel Dr
Ste B
Colorado Springs, CO 80920
Phone (719) 471-4430

7622 McLaughlin Rd
Peyton, CO 80831
Phone (719) 495-3133

279 S Purcell Blvd
Ste 114
Pueblo, CO 81007
Phone (719) 547-2481

9070 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129
Phone (702) 268-7213

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1306638192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 S PURCELL BLVD STE 114",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810075083",
            "telephone_number": "719-547-2481",
            "fax_number": "719-547-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 S PURCELL BLVD # 114",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810075083",
            "telephone_number": "719-547-2481",
            "fax_number": "719-547-2487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7622 McLaughlin Rd",
            "address_purpose": "LOCATION",
            "city": "Peyton",
            "state": "CO",
            "postal_code": "808314710",
            "country_code": "US",
            "telephone_number": "719-495-3133",
            "fax_number": "719-495-8685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.

Verify at the official NPI Registry.