NPIMap

Organization Active NPI

Progressive Therapy Alternatives, Inc

  • Physical Therapist
  • North Baltimore, OH
National Provider Identifier
1104041060
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROGRESSIVE THERAPY ALTERNATIVES, INC
Practice address
113 N Main St
North Baltimore, OH 45872-1124
Phone
(419) 257-9070
Fax
(419) 257-0501
NPI assigned
Apr 16, 2007
Organization subpart
Yes
Parent organization
PROGRESSIVE THERAPY ALTERNATIVES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Dawn Marie Toliver
Title
Credentialing Manager
Phone
(419) 866-5196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

113 N Main St
North Baltimore, OH 45872-1124

Mailing address

1560 Henthorne Dr
Maumee, OH 43537-1371
Phone (419) 866-5275

Other identifiers 4

IdentifierTypeStateIssuer
05531AOtherOHPARAMOUNT
23-2804807OtherRPN
0392980MedicaidOH
1609899061OtherOHCORP NPI NUMBER

Other names 1

  • NORTH BALTIMORE PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Progressive Therapy Alternatives Inc7 organizations share this tax ID, including this one
Part of
Progressive Therapy Alternatives Inc

Other organizations with this tax ID 6

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

Locations

209 Briar Hill Rd
North Baltimore, OH 45872

Practitioners & affiliated clinicians

Practitioners 6

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1104041060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 HENTHORNE DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371371",
            "telephone_number": "419-866-5275",
            "fax_number": "419-866-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N MAIN ST",
            "city": "NORTH BALTIMORE",
            "state": "OH",
            "postal_code": "458721124",
            "telephone_number": "419-257-9070",
            "fax_number": "419-257-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE THERAPY ALTERNATIVES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSIVE THERAPY ALTERNATIVES, INC",
        "enumeration_date": "2007-04-16",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "TOLIVER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "419-866-5196"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "05531A",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPN",
            "identifier": "23-2804807",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0392980",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORP NPI NUMBER",
            "identifier": "1609899061",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH BALTIMORE PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTH BALTIMORE PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Baltimore, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.