MEDICARE: UNIVERSAL PHYSICAL THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	40QA01061800	NJ

General Provider Information

NPI Number	:	1689878209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	4539 US HIGHWAY 9
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-3380
Country	:	US
Telephone Number	:	732-901-5553
Fax Number	:	732-901-1131

Provider Business Practice Location Address
First Line	:	4539 US HIGHWAY 9
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-3380
Country	:	US
Telephone Number	:	732-901-5553
Fax Number	:	732-901-1131

Authorized Official
Title or Position	:	MEMBER
Name	:	SHARYN GOLDSTEIN
Credential	:	MS PT
Telephone Number	:	732-901-5553

Provider Enumeration Date	:	06/14/2007
Last Update Date	:	08/22/2020

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Directions to “UNIVERSAL PHYSICAL THERAPY ” Practice Location

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