Organization Active NPI

Progressive Physical Therapy Inc.

  • Physical Therapist
  • Hinsdale, IL
National Provider Identifier
1063609246
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROGRESSIVE PHYSICAL THERAPY INC.
Practice address
15 Spinning Wheel Rd
Suite 24
Hinsdale, IL 60521-2914
Phone
(630) 887-6929
Fax
(630) 887-6930
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Mohamed Sanad, P.T.
Title
Presidant
Phone
(708) 336-1620

Specialties & licenses 1

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

Addresses

Primary practice location

15 Spinning Wheel Rd
Suite 24
Hinsdale, IL 60521-2914

Mailing address

15 Spinning Wheel Rd
Suite 24
Hinsdale, IL 60521-2914
Phone (630) 887-6929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080328000777 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072699131 Receives reassigned benefits from 2 practitioners
Practice locations: Hinsdale, IL

National Provider Directory

National Provider Directory

Locations

657 E Golf Rd
Ste 303
Arlington Heights, IL 60005
Phone (847) 758-1100

15 Spinning Wheel Rd
Ste 24
Hinsdale, IL 60521
Phone (630) 887-6929

15 Spinning Wheel Rd
Ste 2
Hinsdale, IL 60521

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1063609246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SPINNING WHEEL RD",
            "address_2": "SUITE 24",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212914",
            "telephone_number": "630-887-6929",
            "fax_number": "630-887-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SPINNING WHEEL RD",
            "address_2": "SUITE 24",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212914",
            "telephone_number": "630-887-6929",
            "fax_number": "630-887-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "SANAD",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDANT",
        "authorized_official_telephone_number": "708-336-1620",
        "authorized_official_credential": "P.T."
    },
    "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 Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.