Active NPI
Audrey Plouffe
- Physical Therapist
- Holly, MI
National Provider Identifier
1154235398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501304608
- Practice address
- 10483 Dixie Hwy
Holly, MI 48442-9311 - Phone
- (810) 771-7686
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501304608 | MI | Primary |
Addresses
Primary practice location
10483 Dixie Hwy
Holly, MI 48442-9311
Mailing address
10483 Dixie Hwy
Holly, MI 48442-9311
Phone (810) 771-7686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1154235398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10483 DIXIE HWY",
"city": "HOLLY",
"state": "MI",
"postal_code": "484429311",
"telephone_number": "810-771-7686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10483 DIXIE HWY",
"city": "HOLLY",
"state": "MI",
"postal_code": "484429311",
"telephone_number": "810-771-7686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOUFFE",
"first_name": "AUDREY",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501304608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.