Addison Paige Lagemann, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070024965 Issued in ID

Practice address

8 Walker Ave
Beardstown, IL 62618-8012

Phone

(217) 320-9939

NPI assigned

Sep 12, 2022

Last updated

Sep 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Addi Paige Lagemann Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1629790175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WALKER AVE",
            "city": "BEARDSTOWN",
            "state": "IL",
            "postal_code": "626188012",
            "telephone_number": "217-320-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WALKER AVE",
            "city": "BEARDSTOWN",
            "state": "IL",
            "postal_code": "626188012",
            "telephone_number": "217-320-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGEMANN",
        "first_name": "ADDISON",
        "middle_name": "PAIGE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "070024965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADDI",
            "last_name": "LAGEMANN",
            "middle_name": "PAIGE",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Therapist in Beardstown, IL
• Providers in Beardstown, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.