Individual provider Active NPI

Kelsie E Paige, DPT

  • Physical Therapist
  • Flat Rock, NC
National Provider Identifier
1861826414
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17267 Issued in NC
Practice address
1028 W Blue Ridge Rd
Flat Rock, NC 28731-8790
Phone
(814) 360-8361
Fax
(866) 391-7704
NPI assigned
Aug 29, 2013
Last updated
Sep 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10549 AZ
Physical Therapist 225100000X 23046 PA
Physical Therapist 225100000X 8553 SC
Physical Therapist 225100000X 17267 NC Primary

Addresses

Primary practice location

1028 W Blue Ridge Rd
Flat Rock, NC 28731-8790

Mailing address

1028 W Blue Ridge Rd
Flat Rock, NC 28731-8790
Phone (814) 360-8361

Other practice location 1

197 Piedmont Blvd Ste 205
Rock Hill, SC 29732-1846
Phone (704) 824-7800

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
10549AZMDMarriage & Family Therapist
8553SCMDPharmacist
23046PAMDPhysical Therapist
17267NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehab LLC Physical Therapist Past Accepting new patients
Arizona Orthopedic Physical Therapy, PLLC PastSince Jan 1, 2007 Accepting new patients

Organizations & group practices 2

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": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1861826414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 W BLUE RIDGE RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287318790",
            "telephone_number": "814-360-8361",
            "fax_number": "866-391-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 W BLUE RIDGE RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287318790",
            "telephone_number": "814-360-8361",
            "fax_number": "866-391-7704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 Piedmont Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321846",
            "country_code": "US",
            "telephone_number": "704-824-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "KELSIE",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10549",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "23046",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8553",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "17267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flat Rock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.