Individual provider Active NPI

Paige Marie Newsom, P.T.

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1871763714
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1171373 Issued in TX
Practice address
7616 Culebra Rd
#115
San Antonio, TX 78251-1476
Phone
(210) 682-2346
Fax
(210) 681-7192
NPI assigned
Mar 6, 2008
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1171373 TX Primary

Addresses

Primary practice location

7616 Culebra Rd
#115
San Antonio, TX 78251-1476

Mailing address

7616 Culebra Rd
#115
San Antonio, TX 78251-1476
Phone (210) 682-2346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181011000117 TX Practitioner - Physical Therapist in Private Practice 9739431222 Reassigns benefits to 4 organizations
I20260401002547 CO Practitioner - Physical Therapist in Private Practice 9739431222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rise Up Rehab, LLCGroup PAC ID 3274861497, 118 clinicians
Wheelchair Clinic IncGroup PAC ID 0941613590, 51 clinicians

Practice addresses (Care Compare)

16400 Blanco Rd
San Antonio, TX 78232-1902
Phone (210) 572-4954

28577 Buffalo Park Rd
Suite 215
Evergreen, CO 80439-7370
Phone (833) 233-7875

4557 S Western St
Suite B4
Amarillo, TX 79109-8044
Phone (833) 233-7875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wheelchair Clinic Inc Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
Rise Up Rehab, LLC Physical Therapist CurrentSince Apr 15, 2025 Accepting new patients
Free Range Physical Therapy PLLC Physical Therapist CurrentSince Sep 27, 2024 Accepting new patients

Locations

28577 Buffalo Park Rd
Ste 215
Evergreen, CO 80439
Phone (801) 440-5592

4557 S Western St
Ste B4
Amarillo, TX 79109
Phone (801) 440-5592

16400 Blanco Rd
San Antonio, TX 78232
Phone (210) 408-1212

2021 E Village Green Cir
Ste C
Draper, UT 84020
Phone (801) 440-5592

Organizations & group practices 4

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": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1871763714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7616 CULEBRA RD",
            "address_2": "#115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511476",
            "telephone_number": "210-682-2346",
            "fax_number": "210-681-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 CULEBRA RD",
            "address_2": "#115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511476",
            "telephone_number": "210-682-2346",
            "fax_number": "210-681-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "PAIGE",
        "middle_name": "MARIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1171373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.