MEDICARE: UNIVERSAL REHAB 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1972854404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL REHAB SERVICES, INC.

Provider Business Mailing Address
First Line	:	1023 N. HIGHLAND AVENUE
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37130-2450
Country	:	US
Telephone Number	:	615-624-8476
Fax Number	:	615-324-8478

Provider Business Practice Location Address
First Line	:	392 HARDING PLACE SUITE
Second Line	:	SUITE # 103
City	:	NASHVILLE
State	:	TN
Zip	:	37211-9601
Country	:	US
Telephone Number	:	615-624-8476
Fax Number	:	615-712-6573

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	FORAM PATEL
Credential	:
Telephone Number	:	615-624-8476

Provider Enumeration Date	:	09/24/2012
Last Update Date	:	09/03/2024

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