Paige Breanne Baumgartner

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2700 Walker Way
Desoto, TX 75115-2088

Phone

(972) 298-1100

NPI assigned

Mar 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1346990264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 SE PRINCETON CIR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WALKER WAY",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152088",
            "telephone_number": "972-298-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARTNER",
        "first_name": "PAIGE",
        "middle_name": "BREANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://vshdesoto.com/contact-us/contact/",
            "affiliation": "N",
            "address_1": "2700 Walker Way",
            "city": "DeSoto",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751152088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiwatope Bankale, PHD
• Kathryn Elaine Barnes, D.C.
• Kristen Renee Barnett, LPC
• Vincent Peter Barr, MD
• David Clark Baugher, D.C.
• BCC National, LLC
• Beacon Home Health Services
• Beacon Mental and Wellness Center Limited Liability Company
• Kymberly Beard, FNP
• Rachel Bedford, MS, RD, LD

• Occupational Therapist in Desoto, TX
• Providers in Desoto, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.