Individual provider Active NPI

Paige Hedstrom, DPT

  • Physical Therapist
  • Windsor, CO
National Provider Identifier
1366810731
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0014655 Issued in CO
Practice address
561 E Garden Dr Unit B
Windsor, CO 80550-3149
Phone
(970) 214-3995
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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 PTL.0014655 CO Primary

Addresses

Primary practice location

561 E Garden Dr Unit B
Windsor, CO 80550-3149

Mailing address

8302 Louden Cir
Windsor, CO 80528-9368
Phone (970) 215-2537

Other practice location 1

2311 W 17th St
Greeley, CO 80634-6005
Phone (970) 214-3995

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
42849CAMDGeneral Practice Dentistry
PTL.0014655COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1366810731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 LOUDEN CIR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805289368",
            "telephone_number": "970-215-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 E GARDEN DR UNIT B",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805503149",
            "telephone_number": "970-214-3995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2311 W 17th St",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806346005",
            "country_code": "US",
            "telephone_number": "970-214-3995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDSTROM",
        "first_name": "PAIGE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0014655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.