Organization Active NPI

Progressive Rehabilitation Agency, Inc.

  • Rehabilitation Clinic/Center
  • Sarasota, FL
National Provider Identifier
1124142799
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
106621 Issued in FL
Legal business name
PROGRESSIVE REHABILITATION AGENCY, INC.
Practice address
2999 S Tamiami TRL
Sarasota, FL 34239-5141
Phone
(941) 955-1239
Fax
(941) 955-1089
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Authorized official

Name
Mr. Richard Haupt, PTNPI 1962785519
Title
Owner
Phone
(941) 955-1239

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
Rehabilitation Clinic/Center 261QR0400X 106621 FL Primary

Addresses

Primary practice location

2999 S Tamiami TRL
Sarasota, FL 34239-5141

Mailing address

2999 S Tamiami TRL
Sarasota, FL 34239-5141
Phone (941) 955-1239

Other identifiers 1

IdentifierTypeStateIssuer
R08OtherFLBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

5190 26th St W
Ste I
Bradenton, FL 34207

2620 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 758-3140

2620 S Tamiami Trl
Fl 3
Sarasota, FL 34239

Practitioners & affiliated clinicians

Practitioners 7

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1124142799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395141",
            "telephone_number": "941-955-1239",
            "fax_number": "941-955-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395141",
            "telephone_number": "941-955-1239",
            "fax_number": "941-955-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE REHABILITATION AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "HAUPT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-955-1239",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "106621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "R08",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.