Progressive Rehab Management Corporation

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROGRESSIVE REHAB MANAGEMENT CORPORATION

Practice address

15 Pitchpine PL
Medford, NY 11763-4208

Phone

(347) 922-4222

Fax

(631) 569-5718

NPI assigned

Feb 18, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Joel Olakunle Oladosu, PTNPI 1356628309

Title

Ceo

Phone

(347) 922-4222

Specialties & licenses 1

Addresses

Other names 1

• QUALITY CARE Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel O Oladosu, P.T

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1356628309
  Medicare reassignment Care Compare group NPD Authorized official
• Helaine Blye, SLP

  • Speech-Language Pathologist
  • Medford, NY
  • NPI 1326677022
  Medicare reassignment Care Compare group NPD
• Tracey Hudson

  • Occupational Therapist
  • Bay Shore, NY
  • NPI 1497948921
  Medicare reassignment Care Compare group NPD
• Anthony Lafiandra

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1295332492
  Medicare reassignment NPD

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1053944009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PITCHPINE PL",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117634208",
            "telephone_number": "347-922-4222",
            "fax_number": "631-569-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PITCHPINE PL",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117634208",
            "telephone_number": "347-922-4222",
            "fax_number": "631-569-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE REHAB MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "OLADOSU",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "OLAKUNLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-922-4222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUALITY CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Priolo and Berns Chiropractic PLLC
• Kristan Probeck, RN, MS, ANP
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy, P.C.
• Professional Rehab P.T., P.C.
• Provident Health Partners Inc.
• Casandra J Prygocki, CRNA
• Regina Przywara, LCSW
• Quantix Labs
• Raio Dental, PC

• Physical Therapist in Medford, NY
• Providers in Medford, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.