Provider Demographics
NPI:1205879392
Name:PLUMMER, JAMES PAUL (PT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PAUL
Last Name:PLUMMER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 ARBUTUS AVE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2386
Mailing Address - Country:US
Mailing Address - Phone:530-876-1006
Mailing Address - Fax:530-876-8225
Practice Address - Street 1:2000 FIFTH AVE
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95965
Practice Address - Country:US
Practice Address - Phone:530-533-2233
Practice Address - Fax:530-533-2243
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT28276225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT28276OtherPHYSICAL THERAPY
CAPT28276OtherPHYSICAL THERAPY