Organization Active NPI

Ultimate Physical Therapy LLC

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1316569627
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ULTIMATE PHYSICAL THERAPY LLC
Practice address
10929 Katy Fwy Ste B
Houston, TX 77079-2203
Phone
(281) 783-8500
Fax
(281) 720-7420
NPI assigned
May 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nita Pancholi
Title
Administrator
Phone
(678) 687-7494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

10929 Katy Fwy Ste B
Houston, TX 77079-2203

Mailing address

10929 Katy Fwy Ste B
Houston, TX 77079-2203
Phone (281) 783-8500

National Provider Directory

National Provider Directory

Locations

10929 Katy Fwy
Ste B
Houston, TX 77079
Phone (281) 783-8500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1316569627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10929 KATY FWY STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792203",
            "telephone_number": "281-783-8500",
            "fax_number": "281-720-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10929 KATY FWY STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792203",
            "telephone_number": "281-783-8500",
            "fax_number": "281-720-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "PANCHOLI",
        "authorized_official_first_name": "NITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-687-7494"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.