Provider Demographics
NPI:1245639764
Name:STEVEN D NEWTON PHYSICAL THERAPIST INC
Entity type:Organization
Organization Name:STEVEN D NEWTON PHYSICAL THERAPIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-880-6607
Mailing Address - Street 1:10040 MERITAGE CT
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-4203
Mailing Address - Country:US
Mailing Address - Phone:818-953-4444
Mailing Address - Fax:
Practice Address - Street 1:3413 W PACIFIC AVE
Practice Address - Street 2:102
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-1555
Practice Address - Country:US
Practice Address - Phone:818-953-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT15811261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy