Provider Demographics
NPI:1134253412
Name:JOHNSON & JOHNSON PHYSICAL THERAPY
Entity type:Organization
Organization Name:JOHNSON & JOHNSON PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:NORA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MATTEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-879-4558
Mailing Address - Street 1:1856 LINCOLN AVENUE
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487
Mailing Address - Country:US
Mailing Address - Phone:970-879-4558
Mailing Address - Fax:970-870-8099
Practice Address - Street 1:1856 LINCOLN AVENUE
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487
Practice Address - Country:US
Practice Address - Phone:970-879-4558
Practice Address - Fax:970-870-8099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy