Active NPI
Progressive Step Corp
Doing business as Physical Therapy Associates of Oshkosh
- Physical Therapist
- Oshkosh, WI
National Provider Identifier
1114050135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PROGRESSIVE STEP CORP
- Doing business as
- Physical Therapy Associates of Oshkosh
- Practice address
- 555 S Washburn St
Oshkosh, WI 54904-6710 - Phone
- (920) 236-3130
- Fax
- (920) 236-3128
- NPI assigned
- Mar 13, 2007
- Last updated
- Dec 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Donna J Maassen
- Title
- Privacy Officer
- Phone
- (414) 908-8119
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Certified Respiratory Therapist | 227800000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
555 S Washburn St
Oshkosh, WI 54904-6710
Mailing address
111 W Michigan St
Milwaukee, WI 53203-2903
Phone (414) 908-8119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40420400 | Medicaid | WI |
Other names 1
- Physical Therapy Associates of Oshkosh
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197936000000",
"number": "1114050135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W MICHIGAN ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532032903",
"telephone_number": "414-908-8119",
"fax_number": "414-908-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S WASHBURN ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549046710",
"telephone_number": "920-236-3130",
"fax_number": "920-236-3128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROGRESSIVE STEP CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2007-12-18",
"status": "A",
"authorized_official_last_name": "MAASSEN",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRIVACY OFFICER",
"authorized_official_telephone_number": "414-908-8119",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "227800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Certified",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40420400",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Physical Therapy Associates of Oshkosh",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.