Individual provider Active NPI

Paige Blazina

  • Occupational Therapist
  • Ottumwa, IA
National Provider Identifier
1407537236
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
109671 Issued in IA
Practice address
173 E Rochester Rd
Ottumwa, IA 52501-1123
Phone
(641) 684-1871
NPI assigned
Jul 25, 2023
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 109671 IA Primary

Addresses

Primary practice location

173 E Rochester Rd
Ottumwa, IA 52501-1123

Mailing address

173 E Rochester Rd
Ottumwa, IA 52501-1123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803004335 IA Practitioner - Occupational Therapist in Private Practice 2163883356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dae, Inc.Group PAC ID 9133257645, 5 clinicians

Practice addresses (Care Compare)

402 W Burlington Ave
Suite 200
Fairfield, IA 52556-3243
Phone (641) 469-3130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dae, Inc. Occupational Therapist CurrentSince May 12, 2025 Accepting new patients

Locations

402 W Burlington Ave
Ste 200
Fairfield, IA 52556
Phone (641) 469-3130

11623 Arbor St
Ste 200
Omaha, NE 68144
Phone (402) 334-1919

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1407537236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 E ROCHESTER RD",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 E ROCHESTER RD",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011123",
            "telephone_number": "641-684-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZINA",
        "first_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "109671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.