NPIMap

Organization Active NPI

Plumas Physical Therapy, Inc

  • Physical Therapist
  • Quincy, CA
National Provider Identifier
1376002709
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PLUMAS PHYSICAL THERAPY, INC
Practice address
78 E Central Ave Ste 2
Quincy, CA 95971-9779
Phone
(530) 283-2202
Fax
(530) 283-2204
NPI assigned
Mar 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Authorized official

Name
Kory P Felker, MPTNPI 1184612541
Title
Owner
Phone
(530) 283-2202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

78 E Central Ave Ste 2
Quincy, CA 95971-9779

Mailing address

78 E Central Ave Ste 2
Quincy, CA 95971-9779
Phone (530) 283-2202

Other practice location 1

8989 Highway 89
Building 36 Ste 1
Graeagle, CA 96103-9610
Phone (530) 836-1178

Other identifiers 1

IdentifierTypeStateIssuer
PT28023OtherCAPHYSICAL THERAPY LICENSE

Other names 1

  • Kory P Felker dba Plumas Physical Therapy Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190313001102 CA Part B Supplier - Clinic/Group Practice 7214277185 Receives reassigned benefits from 3 practitioners
Practice locations: Blairsden Graeagle, CA; Quincy, CA

National Provider Directory

National Provider Directory

Locations

78 E Central Ave
Ste 2
Quincy, CA 95971
Phone (530) 283-2202

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1376002709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 E CENTRAL AVE STE 2",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719779",
            "telephone_number": "530-283-2202",
            "fax_number": "530-283-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 E CENTRAL AVE STE 2",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719779",
            "telephone_number": "530-283-2202",
            "fax_number": "530-283-2204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8989 Highway 89",
            "address_2": "Building 36 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Graeagle",
            "state": "CA",
            "postal_code": "961039610",
            "country_code": "US",
            "telephone_number": "530-836-1178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLUMAS PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "FELKER",
        "authorized_official_first_name": "KORY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-283-2202",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT28023",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kory P Felker dba Plumas Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Quincy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.