Organization Active NPI

Universe Physical LLC

  • Physical Therapy Clinic/Center
  • Houston, TX
National Provider Identifier
1972382372
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
UNIVERSE PHYSICAL LLC
Practice address
6320 Richmond Ave
Houston, TX 77057-5906
Phone
(346) 438-6179
Fax
(346) 438-6188
NPI assigned
Sep 25, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Mr. Matt Murat Dagli
Title
President
Phone
(713) 499-0422

Specialties & licenses 1

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

Addresses

Primary practice location

6320 Richmond Ave
Houston, TX 77057-5906

Mailing address

11611 W Airport Blvd Ste H242
Meadows Place, TX 77477-3042
Phone (713) 499-0422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240612000514 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0345782892 Receives reassigned benefits from 3 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

6320 Richmond Ave
Houston, TX 77057
Phone (346) 438-6179

11611 W Airport Blvd
Ste H242
Meadows Place, TX 77477

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1972382372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11611 W AIRPORT BLVD STE H242",
            "city": "MEADOWS PLACE",
            "state": "TX",
            "postal_code": "774773042",
            "telephone_number": "713-499-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575906",
            "telephone_number": "346-438-6179",
            "fax_number": "346-438-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSE PHYSICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "DAGLI",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "MURAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-499-0422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "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 Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.