Healthcare Provider Details

I. General information

NPI: 1033619481
Provider Name (Legal Business Name): PAIGE CELIA PIZZUTO DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAIGE CELIA NILES

II. Dates (important events)

Enumeration Date: 02/12/2018
Last Update Date: 08/25/2022
Certification Date: 08/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1322 E WASHINGTON ST STE B1
GREENVILLE SC
29607-1867
US

IV. Provider business mailing address

1100 CIRCLE 75 PKWY SE STE 1400
ATLANTA GA
30339-3067
US

V. Phone/Fax

Practice location:
  • Phone: 864-729-4081
  • Fax: 864-729-4083
Mailing address:
  • Phone: 678-981-3543
  • Fax: 404-777-1311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: