Individual provider Active NPI

Timothy Charles Plumley, P.T.

  • Physical Therapist
  • Bucyrus, OH
National Provider Identifier
1669547337
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
351 S Lane St
Suite 1
Bucyrus, OH 44820-2319
Phone
(419) 562-6686
Fax
(419) 562-6625
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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 Primary

Addresses

Primary practice location

351 S Lane St
Suite 1
Bucyrus, OH 44820-2319

Mailing address

112 Harcourt Rd
Suite 1
Mount Vernon, OH 43050-3946
Phone (740) 392-8811

Other identifiers 1

IdentifierTypeStateIssuer
2533566MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000343 OH Practitioner - Physical Therapist in Private Practice 5698679488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitative Associates IncGroup PAC ID 4880598663, 9 clinicians

Practice addresses (Care Compare)

351 S Lane St
Suite 1
Bucyrus, OH 44820-2319
Phone (419) 562-6686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitative Associates Inc Physical Therapist CurrentSince Oct 2, 2000 Accepting new patients
Rehabilitative Associates Inc Physical Therapist CurrentSince Oct 2, 2000 Accepting new patients
Mohican Therapy Group Physical Therapist Past Accepting new patients

Locations

351 S Lane St
Ste 1
Bucyrus, OH 44820
Phone (419) 562-6686

1265 Lexington Ave
Mansfield, OH 44907
Phone (419) 525-4200

112 Harcourt Rd
Ste 1
Mount Vernon, OH 43050
Phone (740) 392-8811

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1669547337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HARCOURT RD",
            "address_2": "SUITE 1",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503946",
            "telephone_number": "740-392-8811",
            "fax_number": "740-392-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 S LANE ST",
            "address_2": "SUITE 1",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202319",
            "telephone_number": "419-562-6686",
            "fax_number": "419-562-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMLEY",
        "first_name": "TIMOTHY",
        "middle_name": "CHARLES",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2533566",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.