=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861392532
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PAIGE MICHELLE SHRIVER PT, DPT, OCS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/06/2026
-----------------------------------------------------
Last Update Date | 11/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4895 FAYETTEVILLE RD
-----------------------------------------------------
City | LUMBERTON
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28358-2162
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-618-9807
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15283 TOWNSHIP HIGHWAY 124
-----------------------------------------------------
City | UPPER SANDUSKY
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43351-9635
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-310-4280
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2251X0800X
-----------------------------------------------------
Taxonomy Name | Orthopedic Physical Therapist
-----------------------------------------------------
License Number | P23615
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------