Healthcare Provider Details

I. General information

NPI: 1932365897
Provider Name (Legal Business Name): TABLE MOUNTAIN PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2008
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812 ARBUTUS AVE
CHICO CA
95926-2386
US

IV. Provider business mailing address

2000 W. 5TH AVE.
OROVILLE CA
95965
US

V. Phone/Fax

Practice location:
  • Phone: 530-591-5634
  • Fax:
Mailing address:
  • Phone: 530-591-5634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number28276
License Number StateCA

VIII. Authorized Official

Name: JAMES PAUL PLUMMER
Title or Position: PRESIDENT
Credential: PT
Phone: 530-591-5634