Paige Ann Queen, DPT

Individual provider Active NPI Physical Therapist · Saint Augustine, FL

NPI 1992650105 · NPPES record last updated Mar 3, 2026

Key facts

NPI
1992650105
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT43594 (FL)
Practice address
1711 Lakeside Ave Ste 3
Saint Augustine, FL 32084-4102
Phone
(904) 201-1080
NPI assigned
Mar 3, 2026
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Augustine Rehabilitation Specialists LLC (38 clinicians)

Practice addresses (Care Compare)

1711 Lakeside Ave
Suite 3
Saint Augustine, FL 32084-4102
Phone (904) 217-4259

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260310000520 FL Practitioner - Physical Therapist in Private Practice 9638652522 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT43594FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Augustine Rehabilitation Specialists LLC Physical Therapist Current
since Mar 3, 2026
Accepting new patients
Saint Augustine Rehabilitation Specialists LLC Physical Therapist Current
since Mar 3, 2026
Accepting new patients

Locations

1711 Lakeside Ave
Ste 3
Saint Augustine, FL 32084
Phone (904) 201-1080

105 Mariner Health Way
Ste 213
St Augustine, FL 32086
Phone (904) 217-4259

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT43594 FL Yes

Addresses

Primary practice location

1711 Lakeside Ave Ste 3
Saint Augustine, FL 32084-4102

Mailing address

105 Mariner Health Way Ste 213
Saint Augustine, FL 32086-3251
Phone (904) 217-4259

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 3, 2026.

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1992650105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MARINER HEALTH WAY STE 213",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320863251",
            "telephone_number": "904-217-4259",
            "fax_number": "904-217-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 LAKESIDE AVE STE 3",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320844102",
            "telephone_number": "904-201-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "PAIGE",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT43594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

All providers in Saint Augustine, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.