Organization Active NPI

Mark S. Plante

  • Physical Therapy Clinic/Center
  • Yuma, AZ
National Provider Identifier
1194890186
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MARK S. PLANTE
Doing business as
Main Street Physical Therapy
Practice address
381 S Main St
Yuma, AZ 85364-2340
Phone
(928) 343-7828
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mark Stephen Plante, P.T.
Title
President
Phone
(928) 343-7828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

381 S Main St
Yuma, AZ 85364-2340

Mailing address

381 S Main St
Yuma, AZ 85364-2340
Phone (928) 343-7828

Other names 1

  • Main Street Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

3780 S 4th Ave
Ste H1
Yuma, AZ 85365
Phone (928) 343-7828

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1194890186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 S MAIN ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853642340",
            "telephone_number": "928-343-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 S MAIN ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853642340",
            "telephone_number": "928-343-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S. PLANTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "PLANTE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-343-7828",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.