Healthcare Provider Details

I. General information

NPI: 1942125018
Provider Name (Legal Business Name): PAIGE STEVICK OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 N EL PASO ST
COLORADO SPRINGS CO
80903-2519
US

IV. Provider business mailing address

1115 N EL PASO ST
COLORADO SPRINGS CO
80903-2519
US

V. Phone/Fax

Practice location:
  • Phone: 719-520-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.0008474
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: