Organization Active NPI

Robert N Mettam PT and Timothy P Everitt PT Physical Therapists Inc

Doing business as MPE Physical Therapy

  • Physical Therapist
  • Agoura Hills, CA
National Provider Identifier
1184200032
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ROBERT N METTAM PT AND TIMOTHY P EVERITT PT PHYSICAL THERAPISTS INC
Doing business as
MPE Physical Therapy
Practice address
30135 Agoura Rd Ste C
Agoura Hills, CA 91301-4338
Phone
(818) 707-7344
Fax
(818) 707-7133
NPI assigned
Mar 22, 2021
Last updated
Sep 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Mr. Timothy P Everitt, PT
Title
President
Phone
(818) 707-7344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

30135 Agoura Rd Ste C
Agoura Hills, CA 91301-4338

Mailing address

30135 Agoura Rd Ste C
Agoura Hills, CA 91301-4338
Phone (818) 707-7344

Other names 1

  • MPE Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

30135 Agoura Rd
Ste C
Agoura Hills, CA 91301
Phone (818) 707-7344

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1184200032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30135 AGOURA RD STE C",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014338",
            "telephone_number": "818-707-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30135 AGOURA RD STE C",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014338",
            "telephone_number": "818-707-7344",
            "fax_number": "818-707-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT N METTAM PT AND TIMOTHY P EVERITT PT PHYSICAL THERAPISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "EVERITT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-707-7344",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MPE Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MPE Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.