Organization Active NPI

Universal Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Newport, NH
National Provider Identifier
1992779391
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
UNIVERSAL PHYSICAL THERAPY, LLC
Practice address
23 Main St
Newport, NH 03773
Phone
(603) 863-3260
Fax
(603) 863-3291
NPI assigned
Feb 14, 2006
Last updated
Jun 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Sandra DemeisNPI 1295709301
Title
President
Phone
(603) 863-3260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

23 Main St
Newport, NH 03773

Mailing address

23 Main St
Newport, NH 03773-1504
Phone (603) 863-3260

Other practice location 1

360 Sunapee St
unit one
Newport, NH 03773-5412
Phone (603) 863-3260

Other identifiers 1

IdentifierTypeStateIssuer
UNIV654039OtherNHANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040913000712 NH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5294702965 Receives reassigned benefits from 3 practitioners
Practice locations: Newport, NH

National Provider Directory

National Provider Directory

Locations

23 Main St
Newport, NH 03773
Phone (603) 863-3260

360 Sunapee St
Unit 1
Newport, NH 03773
Phone (603) 863-3260

360 Sunapee St
Unit One
Newport, NH 03773
Phone (603) 863-3260

Practitioners & affiliated clinicians

Practitioners 10

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": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1992779391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAIN ST",
            "city": "NEWPORT",
            "state": "NH",
            "postal_code": "037731504",
            "telephone_number": "603-863-3260",
            "fax_number": "603-863-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAIN ST",
            "city": "NEWPORT",
            "state": "NH",
            "postal_code": "03773",
            "telephone_number": "603-863-3260",
            "fax_number": "603-863-3291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Sunapee St",
            "address_2": "unit one",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "NH",
            "postal_code": "037735412",
            "country_code": "US",
            "telephone_number": "603-863-3260",
            "fax_number": "603-863-3291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSAL PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2025-06-02",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "DEMEIS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-863-3260"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "UNIV654039",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.