Individual provider Active NPI

Paige Lynne Dolsby, DPT

  • Physical Therapist
  • Greenfield, WI
National Provider Identifier
1437737806
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15257-24 Issued in WI
Practice address
4141 S 91St PL
Greenfield, WI 53228-2257
Phone
(509) 990-8561
NPI assigned
Mar 29, 2021
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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 15257-24 WI Primary

Addresses

Primary practice location

4141 S 91St PL
Greenfield, WI 53228-2257

Mailing address

5404 W Loomis Rd
Greendale, WI 53129-1411
Phone (509) 990-8561

Other identifiers 1

IdentifierTypeStateIssuer
15257-24OtherWIPT LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pdolsby@energizerehab.com Direct

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
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youthful Horizons Physical Therapy P SGroup PAC ID 2062301468, 5 clinicians

Practice addresses (Care Compare)

325 S University Rd
Suite 101
Spokane Valley, WA 99206-6164
Phone (509) 921-9798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15257-24WIMDPhysical Therapist

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1437737806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 W LOOMIS RD",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531291411",
            "telephone_number": "509-990-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 S 91ST PL",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532282257",
            "telephone_number": "509-990-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLSBY",
        "first_name": "PAIGE",
        "middle_name": "LYNNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15257-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "15257-24",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pdolsby@energizerehab.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4141 S 91st Pl",
            "city": "Greenfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532282257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.