Kimberly Ellen Paige

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI000281 Issued in PA

Practice address

414 W Market St
Middleburg, PA 17842-1076

Phone

(570) 837-5257

NPI assigned

Oct 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Evangelical Community Hospital

  dba WellSpan Evangelical Community Hospital

  • General Acute Care Hospital
  • Lewisburg, PA
  • NPI 1124076039
  NPD (past)
• Evangelical Community Hospital

  • Ambulatory Surgical Clinic/Center
  • Lewisburg, PA
  • NPI 1255829347
  NPD (past)

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1477270551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 HEISTER VALLEY ROAD",
            "city": "MT PLEASANT MILLS",
            "state": "PA",
            "postal_code": "17853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W MARKET ST",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178421076",
            "telephone_number": "570-837-5257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379350",
            "country_code": "US",
            "telephone_number": "570-522-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "KIMBERLY",
        "middle_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI000281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Jordan, CRNP
• Thomas Allen Krebs, M.D.
• Sabrina Lee Lyons, LSW
• Midd-West School District
• Devangi Paghdal
• Mindy K Reed
• Briana Leigh Reich, RN, SRNA
• Reliance Hose Company #1
• Reliance Hose Company No 1
• Adam D Rudasill, PA-C

• Physical Therapy Assistant in Middleburg, PA
• Providers in Middleburg, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.