NPIMap

Organization Active NPI

Progressive Neuro Therapy PLLC

  • Neurorehabilitation Occupational Therapist
  • Austin, TX
National Provider Identifier
1063669109
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
License
106204 Issued in TX
Legal business name
PROGRESSIVE NEURO THERAPY PLLC
Doing business as
PROGRESSIVE NEURO THERAPY
Practice address
5555 N Lamar Blvd
Ste L 103
Austin, TX 78751-1073
Phone
(512) 200-2332
Fax
(512) 852-4557
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Mrs. Christa Rae Simmons, OT
Title
Occupational Therapist/Owner
Phone
(512) 200-2332

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251N0400X
Neurorehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XN1300X 106204 TX Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Community/Behavioral Health Agency 251S00000X 106204 TX

Addresses

Primary practice location

5555 N Lamar Blvd
Ste L 103
Austin, TX 78751-1073

Mailing address

5555 N Lamar Blvd
Ste L 103
Austin, TX 78751-1073
Phone (512) 200-2332

Other names 1

  • PROGRESSIVE NEURO THERAPY Doing business as

National Provider Directory

National Provider Directory

Locations

5555 N Lamar Blvd
Ste L103
Austin, TX 78751
Phone (512) 200-2332

Practitioners & affiliated clinicians

Practitioners 4

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": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1063669109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 N LAMAR BLVD",
            "address_2": "STE L 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511073",
            "telephone_number": "512-200-2332",
            "fax_number": "512-852-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N LAMAR BLVD",
            "address_2": "STE L 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511073",
            "telephone_number": "512-200-2332",
            "fax_number": "512-852-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE NEURO THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "512-200-2332",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "TX",
            "license": "106204",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "106204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROGRESSIVE NEURO THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.