Active NPI
Michael Plum, PT
- Physical Therapist
- St. George, UT
National Provider Identifier
1891133906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8591913-2401
- Practice address
- 385 North 3050 East
Suite 101
St. George, UT 84790 - Phone
- (435) 251-2643
- Fax
- (435) 627-9576
- NPI assigned
- Jun 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2832 | NV | |
| Physical Therapist | 225100000X | 8591913-2401 | UT | Primary |
Addresses
Primary practice location
385 North 3050 East
Suite 101
St. George, UT 84790
Mailing address
385 North 3050 East
St. George, UT 84790
Phone (435) 251-2643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8591913-2401 | UT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1891133906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 NORTH 3050 EAST",
"city": "ST. GEORGE",
"state": "UT",
"postal_code": "84790",
"telephone_number": "435-251-2643",
"fax_number": "435-627-9576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 NORTH 3050 EAST",
"address_2": "SUITE 101",
"city": "ST. GEORGE",
"state": "UT",
"postal_code": "84790",
"telephone_number": "435-251-2643",
"fax_number": "435-627-9576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUM",
"first_name": "MICHAEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-11",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "2832",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "8591913-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.