Individual provider Active NPI

Paige Matthew Alexis Bush, MSOT, OTR/L

  • Occupational Therapist
  • Moreno Valley, CA
National Provider Identifier
1396497020
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
29335 Issued in CA
Practice address
23100 Eucalyptus Ave Ste C
Moreno Valley, CA 92553-5439
Phone
(951) 379-1500
Fax
(951) 379-1501
NPI assigned
Jan 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 29335 CA Primary
Massage Therapist 225700000X 73782 CA

Addresses

Primary practice location

23100 Eucalyptus Ave Ste C
Moreno Valley, CA 92553-5439

Mailing address

23100 Eucalyptus Ave Ste C
Moreno Valley, CA 92553-5439
Phone (909) 230-8730

Other practice location 1

2091 W Florida Ave Ste 210
Hemet, CA 92545-4800
Phone (951) 658-0005

Other practice location 2

32605 Temecula Pkwy Ste 103
Temecula, CA 92592-6838
Phone (951) 331-3660

Other identifiers 1

IdentifierTypeStateIssuer
16870072OtherCACAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23100 Eucalyptus Ave
Suite C
Moreno Valley, CA 92553-5439

27250 Dracaea Ave
Moreno Valley, CA 92555-4520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73782CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Green Physical Therapy, Inc. Occupational Therapist CurrentSince Jul 21, 2026 Accepting new patients

Locations

2091 W Florida Ave
Ste 210
Hemet, CA 92545
Phone (951) 574-6300

23100 Eucalyptus Ave
Ste C
Moreno Valley, CA 92553
Phone (951) 379-1500

32605 Temecula Pkwy
Ste 103
Temecula, CA 92592
Phone (951) 331-3660

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1396497020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23100 EUCALYPTUS AVE STE C",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535439",
            "telephone_number": "909-230-8730",
            "fax_number": "951-379-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23100 EUCALYPTUS AVE STE C",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535439",
            "telephone_number": "951-379-1500",
            "fax_number": "951-379-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2091 W Florida Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925454800",
            "country_code": "US",
            "telephone_number": "951-658-0005",
            "fax_number": "951-658-0009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32605 Temecula Pkwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925926838",
            "country_code": "US",
            "telephone_number": "951-331-3660",
            "fax_number": "951-331-3661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSH",
        "first_name": "PAIGE",
        "middle_name": "MATTHEW ALEXIS",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "29335",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "73782",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "16870072",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.