Robert Nie Mettam, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6855 Issued in CA

Practice address

14116 Magnolia Blvd
Sherman Oaks, CA 91423-1119

Phone

(818) 789-3819

Fax

(818) 789-3546

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

  • Physical Therapist
  • Agoura Hills, CA
  • NPI 1184200032
  NPD

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720170905",
    "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": "14116 MAGNOLIA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231119",
            "telephone_number": "818-789-3819",
            "fax_number": "818-789-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METTAM",
        "first_name": "ROBERT",
        "middle_name": "NIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT6855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Merlet, O.D.
• Elise Currie Meshell, MA, MFT
• Nejdeh James Mesrkhani, DC
• Melenie Mesropyan
• Kessra Fay Mestre-Naji
• Ashley Meza
• Melanie Meza
• Tonatiuh Sebastian Meza
• Vasti Eunice Mezquita, BACHELOR
• Agoziri Mgbeke

• Physical Therapist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.