Active NPI
Paige Plesich
- Athletic Trainer
- Cleveland, TN
National Provider Identifier
1962050062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2355
- Practice address
- 1120 N Ocoee St
Cleveland, TN 37311-4458 - Phone
- (423) 364-0169
- NPI assigned
- Aug 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2355 | TN | Primary |
Addresses
Primary practice location
1120 N Ocoee St
Cleveland, TN 37311-4458
Mailing address
260 25TH St. NE #3231
Cleveland, TN 37311
Phone (614) 961-7704
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 4236148438 | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567209600000",
"number": "1962050062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 25TH ST. NE #3231",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "37311",
"telephone_number": "614-961-7704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 N OCOEE ST",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373114458",
"telephone_number": "423-364-0169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLESICH",
"first_name": "PAIGE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-31",
"last_updated": "2019-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "2355",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "4236148438",
"affiliation": "N",
"endpointDescription": "fax",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Text",
"address_1": "1120 N Ocoee St",
"city": "Cleveland",
"state": "TN",
"country_code": "US",
"postal_code": "373114458",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.