NPIMap

Organization Active NPI

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

Doing business as JMP Physical Therapy

  • Physical Therapist
  • Agoura Hills, CA
National Provider Identifier
1427157122
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
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
30135 Agoura Rd
Suite C
Agoura Hills, CA 91301-4338
Phone
(818) 707-7344
Fax
(818) 707-7133
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Mr. Robert N. MettamNPI 1720170905
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

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

Mailing address

PO Box 278
Castaic, CA 91310-0278
Phone (818) 754-9549

Other names 1

  • JMP Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

18420 Hart St
Reseda, CA 91335
Phone (818) 344-8378

14116 Magnolia Blvd
Sherman Oaks, CA 91423
Phone (818) 789-3819

Practitioners & affiliated clinicians

Practitioners 4

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1427157122",
    "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": "818-754-9549",
            "fax_number": "818-789-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30135 AGOURA RD",
            "address_2": "SUITE 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, 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": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-789-3819",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Agoura Hills, CA

Sources for this page

  • 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.