Active NPI
Robert N. Mettam PT and David N. Pevsner PT
Doing business as JMP Physical Therapy
- Physical Therapist
- Reseda, CA
National Provider Identifier
1003915794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ROBERT N. METTAM PT AND DAVID N. PEVSNER PT
- Doing business as
- JMP Physical Therapy
- Practice address
- 18420 Hart St
Reseda, CA 91335-4317 - Phone
- (818) 996-1081
- Fax
- (818) 996-1315
- NPI assigned
- Sep 21, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert N. Mettam, P.T.
- Title
- President
- Phone
- (818) 789-3819
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
18420 Hart St
Reseda, CA 91335-4317
Mailing address
PO Box 278
Castaic, CA 91310-0278
Phone (818) 789-3819
Other names 1
- JMP Physical Therapy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Sherman Oaks, CA
- NPI 1720170905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003915794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 278",
"city": "CASTAIC",
"state": "CA",
"postal_code": "913100278",
"telephone_number": "818-789-3819",
"fax_number": "818-789-3546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18420 HART ST",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354317",
"telephone_number": "818-996-1081",
"fax_number": "818-996-1315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT N. METTAM PT AND DAVID N. PEVSNER PT",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "METTAM",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-789-3819",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JMP Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.