Provider Demographics
NPI:1992779391
Name:UNIVERSAL PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:UNIVERSAL PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMEIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-863-3260
Mailing Address - Street 1:23 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:NH
Mailing Address - Zip Code:03773-1504
Mailing Address - Country:US
Mailing Address - Phone:603-863-3260
Mailing Address - Fax:603-863-3291
Practice Address - Street 1:23 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:NH
Practice Address - Zip Code:03773
Practice Address - Country:US
Practice Address - Phone:603-863-3260
Practice Address - Fax:603-863-3291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-14
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHUNIV654039OtherANTHEM
NHUNRE6171Medicare ID - Type Unspecified