Individual provider Active NPI

Sara Caitlin Plum, OT

  • Occupational Therapist
  • Elkin, NC
National Provider Identifier
1871356170
Registry record updated Sep 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
072.0134216 Issued in VT
Practice address
1810 N Bridge St Ste 101
Elkin, NC 28621-2164
Phone
(828) 355-9584
Fax
(828) 355-9689
NPI assigned
Jan 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 072.0134216 VT Primary

Addresses

Primary practice location

1810 N Bridge St Ste 101
Elkin, NC 28621-2164

Mailing address

450 New Market Blvd Ste 3
Boone, NC 28607-5501
Phone (828) 355-9584

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240614001316 NC Practitioner - Occupational Therapist in Private Practice 4789127077 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16611NCMDPhysical Therapist
072.0134216VTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Lymphatics of NC PC Occupational Therapist CurrentSince May 3, 2024 Accepting new patients

Locations

450 New Market Blvd
Ste 3
Boone, NC 28607
Phone (828) 964-3026

1810 N Bridge St
Ste 101
Elkin, NC 28621

Organizations & group practices 1

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": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726358400000",
    "number": "1871356170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NEW MARKET BLVD STE 3",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075501",
            "telephone_number": "828-355-9584",
            "fax_number": "828-355-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 N BRIDGE ST STE 101",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212164",
            "telephone_number": "828-355-9584",
            "fax_number": "828-355-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUM",
        "first_name": "SARA",
        "middle_name": "CAITLIN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VT",
            "license": "072.0134216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2024; 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.