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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260310000520 | FL | Practitioner - Physical Therapist in Private Practice | 9638652522 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT43594 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Augustine Rehabilitation Specialists LLC | Physical Therapist | Current |
Accepting new patients |
| Saint Augustine Rehabilitation Specialists LLC | Physical Therapist | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Baha Qablawi
- Maryam Qadir
- Qixia Huang, M.D., P.a.
- Quality Care Home Healthcare Company LLC
- Vivien Quattrone
- Sarah Quigg
- Melissa Shannon Quilty
- Morgan Quinn
- Jeannette Quinones
- Marina Rabkin
All providers in Saint Augustine, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.