NPIMap

Organization Active NPI

Progressive Physical Therapy, LLC

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1053012716
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROGRESSIVE PHYSICAL THERAPY, LLC
Practice address
1199 N Fairfax St
Alexandria, VA 22314-1483
Phone
(571) 312-2294
Fax
(610) 917-0573
NPI assigned
Mar 10, 2023
Last updated
Mar 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Melanie Redfern
Title
Credentialing Specialist
Phone
(412) 567-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1199 N Fairfax St
Alexandria, VA 22314-1483

Mailing address

2000 Westinghouse Dr Ste 200
Cranberry Township, PA 16066-5238
Phone (724) 343-4060

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Physical Therapy27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1053012716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WESTINGHOUSE DR STE 200",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160665238",
            "telephone_number": "724-343-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 N FAIRFAX ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141483",
            "telephone_number": "571-312-2294",
            "fax_number": "610-917-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "REDFERN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "412-567-2400"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.