Active NPI
Paige Hedstrom, DPT
- Physical Therapist
- Windsor, CO
National Provider Identifier
1366810731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0014655
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 42849 | CA | MD | General Practice Dentistry |
| PTL.0014655 | CO | MD | Physical 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.