Individual provider Active NPI

Annabelle Caasi Paige

  • Developmental Therapist
  • Wilton, CT
National Provider Identifier
1326317553
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
22494 Issued in FL
Practice address
23 Danbury Rd
Wilton, CT 06897-4316
Phone
(203) 834-3080
NPI assigned
Dec 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X 22494 FL Primary

Addresses

Primary practice location

23 Danbury Rd
Wilton, CT 06897-4316

Mailing address

2315 Beach Blvd
Ste #301
Jacksonville Beach, FL 32250-4073
Phone (843) 475-6737

Other identifiers 1

IdentifierTypeStateIssuer
22494OtherFLPHYSICAL THERAPY ASSISTANT

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

LicenseStateTypeSpecialty
22494FLMDDevelopmental Therapist

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1326317553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 BEACH BLVD",
            "address_2": "STE #301",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504073",
            "telephone_number": "843-475-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974316",
            "telephone_number": "203-834-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "ANNABELLE",
        "middle_name": "CAASI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "22494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY ASSISTANT",
            "identifier": "22494",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.