Robert N. Mettam, P.T., Physical Therapist, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ROBERT N. METTAM, P.T., PHYSICAL THERAPIST, INC.

Doing business as

JMP Physical Therapy

Practice address

1000 Newbury Rd
Suite 135
Newbury Park, CA 91320-6435

Phone

(805) 214-9933

Fax

(805) 214-9935

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Nie Mettam, PT

Title

President

Phone

(818) 789-3819

Specialties & licenses 1

Addresses

Other names 1

• JMP Physical Therapy Doing business as

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1306945910",
    "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": "818-754-3549",
            "fax_number": "818-789-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD",
            "address_2": "SUITE 135",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206435",
            "telephone_number": "805-214-9933",
            "fax_number": "805-214-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT N. METTAM, P.T., PHYSICAL THERAPIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "METTAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-789-3819",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "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"
        }
    ]
}

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• Physical Therapist in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.