Individual provider Active NPI

Irene S Pluimmentz, P.T.

  • Physical Therapist
  • Santa Fe, NM
National Provider Identifier
1265595912
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1576 Issued in NM
Practice address
21 Sands LN
Santa Fe, NM 87507-9641
Phone
(505) 690-2460
NPI assigned
Dec 17, 2006
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1576 NM Primary

Addresses

Primary practice location

21 Sands LN
Santa Fe, NM 87507-9641

Mailing address

21 Sands LN
Santa Fe, NM 87507-9641
Phone (505) 690-2460

Other identifiers 2

IdentifierTypeStateIssuer
31029001MedicaidNM
000D3744MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230204000160 NM Practitioner - Physical Therapist in Private Practice 2567834302 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1576NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Plus Inc Physical Therapist PastSince Dec 29, 2017 Accepting new patients
One Step Beyond, Inc. Physical Therapist PastSince Jun 9, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1265595912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SANDS LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079641",
            "telephone_number": "505-690-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SANDS LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079641",
            "telephone_number": "505-690-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUIMMENTZ",
        "first_name": "IRENE",
        "middle_name": "S",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-17",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "1576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31029001",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000D3744",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.