Organization Active NPI

Progress PT Centers for Fitness and Rehabilitation LLC

  • Physical Therapist
  • Southampton, PA
National Provider Identifier
1104981158
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROGRESS PT CENTERS FOR FITNESS AND REHABILITATION LLC
Practice address
283 Second Street Pike
Suite 145
Southampton, PA 18966
Phone
(215) 494-2255
Fax
(215) 494-2258
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William Leitzel, MSPTNPI 1912080201
Title
President Therapist
Phone
(215) 494-2255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

283 Second Street Pike
Suite 145
Southampton, PA 18966

Mailing address

283 Second Street Pike
Suite 145
Southampton, PA 18966
Phone (215) 494-2255

Other identifiers 3

IdentifierTypeStateIssuer
01844582MedicaidPA
31758OtherPAHEALTH PARTNERS
PR1340396OtherPAPA BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3200 Frankford Ave
Fl 3
Philadelphia, PA 19134
Phone (215) 203-1930

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104981158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 SECOND STREET PIKE",
            "address_2": "SUITE 145",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "18966",
            "telephone_number": "215-494-2255",
            "fax_number": "215-494-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 SECOND STREET PIKE",
            "address_2": "SUITE 145",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "18966",
            "telephone_number": "215-494-2255",
            "fax_number": "215-494-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS PT CENTERS FOR FITNESS AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEITZEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT THERAPIST",
        "authorized_official_telephone_number": "215-494-2255",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01844582",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "31758",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "PR1340396",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.