Universal Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

UNIVERSAL THERAPY LLC

Practice address

620 16TH Ave S
Minneapolis, MN 55454-1118

Phone

(612) 598-5651

NPI assigned

Dec 7, 2020

Organization subpart

No

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

Authorized official

Name

Fauzia Samatar

Title

Owner

Phone

(612) 598-5651

Specialties & licenses 1

Addresses

Electronic endpoints 4

Locations

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1477159291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 16TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541118",
            "telephone_number": "612-598-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 16TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541118",
            "telephone_number": "612-598-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "SAMATAR",
        "authorized_official_first_name": "FAUZIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-598-5651"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Minneapolis",
            "affiliation": "N",
            "address_1": "620 16th Ave S",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554541118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Minneapolis",
            "affiliation": "N",
            "address_1": "620 16th Ave S",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554541118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Minneapolis",
            "affiliation": "N",
            "address_1": "620 16th Ave S",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554541118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Minneapolis",
            "affiliation": "N",
            "address_1": "620 16th Ave S",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554541118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Universal Medical Services, Inc
• Universal Medical Services, Inc Dbaaxis Medical Center
• Universal Medical Services, Inc Dbaaxis Medical Center
• Universal Medical Services, Inc.
• Universal Optical LLC
• Universal Transit Services, Inc
• University Anesthesia Providers, LLC
• University Language Center, Inc
• University of Minnesota
• University of Minnesota

• Community/Behavioral Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.