Provider Demographics
NPI:1033619481
Name:PIZZUTO, PAIGE CELIA (DPT)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:CELIA
Last Name:PIZZUTO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:CELIA
Other - Last Name:NILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1100 CIRCLE 75 PKWY SE STE 1400
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3067
Mailing Address - Country:US
Mailing Address - Phone:678-981-3543
Mailing Address - Fax:404-777-1311
Practice Address - Street 1:1322 E WASHINGTON ST STE B1
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-1867
Practice Address - Country:US
Practice Address - Phone:864-729-4081
Practice Address - Fax:864-729-4083
Is Sole Proprietor?:No
Enumeration Date:2018-02-12
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist