Alexander Plum, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

23135 Issued in MA

Practice address

606 Providence Hwy
Dedham, MA 02026-6804

Phone

(857) 444-1010

NPI assigned

Sep 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Marathon Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Newton, MA
  • NPI 1346373115
  NPD (past)

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1962920264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E MAIN ST",
            "city": "NORTON",
            "state": "MA",
            "postal_code": "027662436",
            "telephone_number": "857-444-0999",
            "fax_number": "508-285-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 PROVIDENCE HWY",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266804",
            "telephone_number": "857-444-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUM",
        "first_name": "ALEXANDER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "23135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "23135",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan S Piel, MS
• Danie Lubin Pierrette, M.ED
• Nicholas James Pietrwski, M.S
• Gahensha Pinckombe, MA
• Wanda Edith Pizarro, LCSW
• Nadege Poirier-Nye
• Sarah Poliatti, DPT
• Yosselin Elizabeth Portillo
• Walter Potaznick, O.D.
• Danielle Power

• Orthopedic Physical Therapist in Dedham, MA
• Providers in Dedham, MA by specialty
• Orthopedic Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.