Provider Demographics
NPI:1558550673
Name:MYERS PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:MYERS PHYSICAL THERAPY, INC.
Other - Org Name:JASON MYERS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:831-757-1900
Mailing Address - Street 1:224 SAN JOSE ST STE 1
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3931
Mailing Address - Country:US
Mailing Address - Phone:831-757-1900
Mailing Address - Fax:831-757-1010
Practice Address - Street 1:224 SAN JOSE ST STE 1
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3931
Practice Address - Country:US
Practice Address - Phone:831-757-1900
Practice Address - Fax:831-757-1010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT239232251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PT239231Medicare PIN