MEDICARE: STEVEN DOUGLAS NEWTON P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT15811	CA

General Provider Information

NPI Number	:	1861548109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN DOUGLAS NEWTON P.T.

Provider Business Mailing Address
First Line	:	10040 MERITAGE CT
Second Line	:
City	:	SUN VALLEY
State	:	CA
Zip	:	91352-4203
Country	:	US
Telephone Number	:	909-957-9357
Fax Number	:	818-351-0164

Provider Business Practice Location Address
First Line	:	2001 W ALAMEDA AVE
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91506-2932
Country	:	US
Telephone Number	:	818-953-4444
Fax Number	:	818-953-4940

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2007
Last Update Date	:	06/29/2020

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