Mary Katherine Plumb, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

006902-1 Issued in NY

Practice address

7613 Susan Dr
North Syracuse, NY 13212-1223

Phone

(315) 458-5457

NPI assigned

Mar 9, 2009

Last updated

Mar 9, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1346481108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7613 SUSAN DR",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121223",
            "telephone_number": "315-458-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7613 SUSAN DR",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121223",
            "telephone_number": "315-458-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMB",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT003164L",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "006902-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Irene Perrone, LMSW
• Vicki Phan
• Sarah Elizabeth Pieramico, PHARMD
• Marianne Carmella Pirro
• Garfield David Plewes
• Colleen Plumley
• Podiatry Services of Central New York P C
• Podiatry Services of Central New York, PC
• Mark S Post, DPM
• Derek Powell

• Pediatric Physical Therapist in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.