Healthcare Provider Details

I. General information

NPI: 1134253412
Provider Name (Legal Business Name): JOHNSON & JOHNSON PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1856 LINCOLN AVENUE
STEAMBOAT SPRINGS CO
80487
US

IV. Provider business mailing address

1856 LINCOLN AVENUE
STEAMBOAT SPRINGS CO
80487
US

V. Phone/Fax

Practice location:
  • Phone: 970-879-4558
  • Fax: 970-870-8099
Mailing address:
  • Phone: 970-879-4558
  • Fax: 970-870-8099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. NORA A MATTEO
Title or Position: OFFICE MANAGER
Credential:
Phone: 970-879-4558