Provider Demographics
NPI:1558134825
Name:UNIVERSAL THERAPY & TESTING LLC
Entity Type:Organization
Organization Name:UNIVERSAL THERAPY & TESTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KANAN
Authorized Official - Middle Name:ANAND
Authorized Official - Last Name:JANI
Authorized Official - Suffix:
Authorized Official - Credentials:PT,D-EDX
Authorized Official - Phone:803-553-8960
Mailing Address - Street 1:112 UPLAND TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-8251
Mailing Address - Country:US
Mailing Address - Phone:803-553-8960
Mailing Address - Fax:
Practice Address - Street 1:1120 SPARKLEBERRY LANE EXT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-7078
Practice Address - Country:US
Practice Address - Phone:803-553-8960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSAL THERAPY & TESTING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251E1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistElectrophysiology, ClinicalGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty