Provider Demographics
NPI:1770911158
Name:PAIGE, CAITLIN CLEMENTS (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:CLEMENTS
Last Name:PAIGE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:CAILTIN
Other - Middle Name:ELIZABETH
Other - Last Name:CLEMENTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:141 KNAPPS HWY
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-3737
Mailing Address - Country:US
Mailing Address - Phone:603-340-1613
Mailing Address - Fax:
Practice Address - Street 1:728 POST RD E
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5200
Practice Address - Country:US
Practice Address - Phone:203-341-0488
Practice Address - Fax:203-227-8809
Is Sole Proprietor?:No
Enumeration Date:2013-10-23
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT009928225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist