Michael Steven Plude Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299479 Issued in CA

Practice address

438 S Hamel Rd
West Hollywood, CA 90048-3903

Phone

(310) 272-5324

NPI assigned

Aug 16, 2018

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1447730775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 S HAMEL RD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900483903",
            "telephone_number": "310-272-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 S HAMEL RD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900483903",
            "telephone_number": "310-272-5324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 W 57th St Ste 600",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100192305",
            "country_code": "US",
            "telephone_number": "212-974-7252",
            "fax_number": "212-974-7228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUDE",
        "first_name": "MICHAEL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043447",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharla Latrice Pittman, SUDRC # 15302
• Helen Phan Pizzo, M.D.
• Planned Parenthood Los Angeles West Hollywood Center
• Tania Marcela Platero Portillo, M.D.
• Platinumcare la
• Niko Pogorevcnik
• Charles E Pohl III, MD
• Talia L Pollack, PA-C
• Max Rosenberg Pollock, M.D.
• Thomas Polveroni, MD

• Physical Therapist in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.