Individual provider Active NPI

Justin Plum, PT

  • Physical Therapist
  • Coralville, IA
National Provider Identifier
1578894978
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2769 Heartland Drive
Ste. 301
Coralville, IA 52241
Phone
(319) 545-4121
Fax
(319) 545-4128
NPI assigned
Jan 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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 IL Primary

Addresses

Primary practice location

2769 Heartland Drive
Ste. 301
Coralville, IA 52241

Mailing address

3401 Towncrest Drive
Iowa City, IA 52240
Phone (319) 354-2429

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211108002184 IA Practitioner - Physical Therapist in Private Practice 7315079985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Younker Rehabilitation Therapy Services LLCGroup PAC ID 2062799810, 47 clinicians

Practice addresses (Care Compare)

3625 N Ankeny Blvd
Suite C
Ankeny, IA 50023-4611
Phone (515) 965-4660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Younker Rehabilitation Therapy Services, LLC Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients
Progressive Rehabilitation Associates L.L.C. Physical Therapist PastSince Jan 1, 2025 Accepting new patients
Accelerated Rehabilitation Centers LTD Physical Therapist Past Accepting new patients
Iowa Physicians Clinic Medical Foundation PastSince Sep 13, 2021 Accepting new patients

Locations

2006 S Ankeny Blvd
Bldg 5
Ankeny, IA 50023
Phone (515) 289-9541

3625 N Ankeny Blvd
Ste C
Ankeny, IA 50023
Phone (515) 965-4660

3200 Grand Ave
Des Moines, IA 50312
Phone (515) 271-1700

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1578894978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 TOWNCREST DRIVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52240",
            "telephone_number": "319-354-2429",
            "fax_number": "319-354-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 HEARTLAND DRIVE",
            "address_2": "STE. 301",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "52241",
            "telephone_number": "319-545-4121",
            "fax_number": "319-545-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUM",
        "first_name": "JUSTIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-25",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.