Individual provider Active NPI

Paula Page-Hough, PTA, DPT

  • Physical Therapy Assistant
  • Crystal River, FL
National Provider Identifier
1730546789
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA16647 Issued in FL
Practice address
1560 N Meadowcrest Blvd
Crystal River, FL 34429-5757
Phone
(352) 228-4088
Fax
(352) 228-4006
NPI assigned
Jan 21, 2016
Last updated
Jan 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA16647 FL Primary

Addresses

Primary practice location

1560 N Meadowcrest Blvd
Crystal River, FL 34429-5757

Mailing address

1560 N Meadowcrest Blvd
Crystal River, FL 34429-5757
Phone (352) 228-4088

Other names 1

  • Paula Page Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA16647FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1730546789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 N MEADOWCREST BLVD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344295757",
            "telephone_number": "352-228-4088",
            "fax_number": "352-228-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 N MEADOWCREST BLVD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344295757",
            "telephone_number": "352-228-4088",
            "fax_number": "352-228-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE-HOUGH",
        "first_name": "PAULA",
        "name_prefix": "Dr.",
        "credential": "PTA, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA16647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "PAGE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.