Basic Information
| Provider Information | |||||||||
| NPI: | 1558987537 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PLUMMER | ||||||||
| FirstName: | JAMIE | ||||||||
| MiddleName: | C | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 563 UNIVERSITY BLVD | ||||||||
| Address2: | |||||||||
| City: | HARRISONBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 228013752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5405341338 | ||||||||
| FaxNumber: | 5403012778 | ||||||||
| Practice Location | |||||||||
| Address1: | 313 NEFF AVE STE C | ||||||||
| Address2: | |||||||||
| City: | HARRISONBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 228013495 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5404341200 | ||||||||
| FaxNumber: | 5404341203 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/24/2020 | ||||||||
| LastUpdateDate: | 05/18/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 2305213701 | VA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 047688 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.