MEDICARE: UC ULTIMATE THERAPY SERVICES INC

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	261QM1300X	Multi-Specialty Clinic/Center
2	251E00000X	Home Health Agency	677999	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144586991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UC ULTIMATE THERAPY SERVICES INC

Provider Business Mailing Address
First Line	:	9900 WESTPARK DR STE 340
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5285
Country	:	US
Telephone Number	:	832-252-1030
Fax Number	:	832-252-1062

Provider Business Practice Location Address
First Line	:	9900 WESTPARK DR STE 340
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5285
Country	:	US
Telephone Number	:	832-252-1030
Fax Number	:	832-252-1062

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	NNEAMAKA AKALUSO
Credential	:
Telephone Number	:	832-252-1030

Provider Enumeration Date	:	04/05/2012
Last Update Date	:	12/23/2021

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Directions to “UC ULTIMATE THERAPY SERVICES INC ” Practice Location

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