Progressive Physical Therapy Plus

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROGRESSIVE PHYSICAL THERAPY PLUS

Doing business as

Progressive Physical Therapy and Rehabilitation Inc.

Practice address

12665 Garden Grove Blvd Ste 603
Garden Grove, CA 92843-1920

Phone

(714) 643-9012

Fax

(714) 643-9015

NPI assigned

May 4, 2015

Last updated

Oct 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Marshall, DPTNPI 1659301158

Title

Owner

Phone

(714) 547-1140

Specialties & licenses 2

Addresses

Other names 1

• Progressive Physical Therapy and Rehabilitation Inc. Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Ann Marshall, DPT

  • Physical Therapist
  • Orange, CA
  • NPI 1659301158
  Medicare reassignment Care Compare group Authorized official
• Brian Anthony Martinez, DPT

  • Physical Therapist
  • Garden Grove, CA
  • NPI 1063050748
  Medicare reassignment Care Compare group NPD
• Alison Nguyen

  • Physical Therapist
  • Garden Grove, CA
  • NPI 1477141778
  Medicare reassignment Care Compare group
• Adam Lee Nadler, MPT

  • Physical Therapist
  • Orange, CA
  • NPI 1205064920
  Medicare reassignment
• Ma. Cristina Divina Rivilla, PTA

  • Physical Therapy Assistant
  • Garden Grove, CA
  • NPI 1053133918

  Single Specialty

  NPD

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1083091631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD STE 603",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431920",
            "telephone_number": "714-643-9012",
            "fax_number": "714-643-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD STE 603",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431920",
            "telephone_number": "714-643-9012",
            "fax_number": "714-643-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PHYSICAL THERAPY PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-547-1140",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pptorange@att.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12665 Garden Grove Blvd Ste 603",
            "city": "Garden Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928431920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Progressive Physical Therapy and Rehabilitation Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Progressive Physical Therapy and Rehabilitation Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prime Physical Therapy Corp
• Bernadette Prince, M.S. CCC-SLP
• Kevin Prince, B.A.
• Brittany Prior
• Pro Foot and Ankle Clinic.Inc
• Prohealth Partners a Medical Group
• Prohealth Partners, a Medical Group, Inc.
• Prohealth Wellness Center
• Sofia Prorok, DPT PT CSCS
• Prudent Care Management, Inc. (Sprint Physical Therapy)

• Physical Therapist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.