Paige Green, PT
Individual provider Active NPI Physical Therapist · Newcastle, OK
NPI 1962928523 · NPPES record last updated Jun 15, 2021
Key facts
- NPI
- 1962928523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5382 (OK)
- Practice address
- 3699 NW 32ND St
Newcastle, OK 73065-6559 - Phone
- (405) 387-5520
- NPI assigned
- Aug 16, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEMP | OK | MD | Clinical Social Worker |
| 5382 | OK | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5382 | OK | Yes |
Addresses
Primary practice location
3699 NW 32ND St
Newcastle, OK 73065-6559
Mailing address
1712 Wellington Rd
Newcastle, OK 73065-2303
Phone (405) 201-0323
Other providers in Newcastle, OK
- Shella Marie Gettings
- Dalton Gibson
- Christopher Goelz
- Carrie Diane Gray
- Aiden Green
- Philip Wayne Grider
- Jennifer Joy Griffin
- Ashley Nicole Gutierrez
- Eric D Hanson
- Healthcare Stat of Newcastle LLC
All providers in Newcastle, OK · Physical Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.