Individual provider Active NPI

Diane L. Paige, PTPHYSICAL THERAPIST

  • Physical Therapist
  • Vermilion, OH
National Provider Identifier
1790903060
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.005043 Issued in OH
Practice address
1605 State Road
Ste. 3
Vermilion, OH 44089
Phone
(440) 967-2508
Fax
(440) 967-4023
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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
PT.005043OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Transition Healthcare Associates Inc Physical Therapist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dpaige39070@ehrdirect.uhhospitals.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT.005043 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

1605 State Road
Ste. 3
Vermilion, OH 44089

Mailing address

1605 State Road
Ste. 3
Vermilion, OH 44089
Phone (440) 967-2508

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790903060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 STATE ROAD",
            "address_2": "STE. 3",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "44089",
            "telephone_number": "440-967-2508",
            "fax_number": "440-967-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 STATE ROAD",
            "address_2": "STE. 3",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "44089",
            "telephone_number": "440-967-2508",
            "fax_number": "440-967-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "DIANE",
        "middle_name": "L.",
        "credential": "PTPHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.005043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermilion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.