NPIMap

Organization Active NPI

Universal Therapy Dynamics, Inc

  • Physical Therapy Clinic/Center
  • Willoughby, OH
National Provider Identifier
1740288919
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
UNIVERSAL THERAPY DYNAMICS, INC
Practice address
35000 Kaiser CT
Suite 301
Willoughby, OH 44094-3382
Phone
(440) 951-6677
Fax
(440) 951-2820
NPI assigned
Jul 12, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. William Alan Liuzzo
Title
President
Phone
(440) 951-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X OH Primary

Addresses

Primary practice location

35000 Kaiser CT
Suite 301
Willoughby, OH 44094-3382

Mailing address

35000 Kaiser CT
Suite 301
Willoughby, OH 44094-3382
Phone (440) 951-6677

Other identifiers 7

IdentifierTypeStateIssuer
2660973MedicaidOH
6400134OtherOHUNITED
2660893MedicaidOH
100644OtherOHKAISER
000000166005OtherOHANTHEM PT
000000287889OtherOHANTHEM OT
127841100OtherOHDOL

National Provider Directory

National Provider Directory

Locations

3645 Warrensville Center Rd
Ste 121
Shaker Heights, OH 44122
Phone (216) 491-3883

35000 Kaiser Ct
Ste 301
Willoughby, OH 44094
Phone (440) 951-6677

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740288919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35000 KAISER CT",
            "address_2": "SUITE 301",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440943382",
            "telephone_number": "440-951-6677",
            "fax_number": "440-951-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35000 KAISER CT",
            "address_2": "SUITE 301",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440943382",
            "telephone_number": "440-951-6677",
            "fax_number": "440-951-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL THERAPY DYNAMICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LIUZZO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-951-6677",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2660973",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "6400134",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2660893",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "100644",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PT",
            "identifier": "000000166005",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OT",
            "identifier": "000000287889",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "127841100",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.