Organization Active NPI

Progress Physical Therapy

  • Sports Physical Therapist
  • Raleigh, NC
National Provider Identifier
1174630107
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Legal business name
PROGRESS PHYSICAL THERAPY
Practice address
3633 Harden Rd Ste 101
Raleigh, NC 27607-3369
Phone
(919) 789-4459
Fax
(919) 789-8342
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Lori Von Alten, PT, ATC-L, CSCI, CPINPI 1275641201
Title
President
Phone
(919) 789-4459

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
Sports Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251S0007X Primary

Addresses

Primary practice location

3633 Harden Rd Ste 101
Raleigh, NC 27607-3369

Mailing address

3633 Harden Rd Ste 101
Raleigh, NC 27607-3369
Phone (919) 789-4459

Other identifiers 1

IdentifierTypeStateIssuer
013F3OtherNCBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174630107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 HARDEN RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073369",
            "telephone_number": "919-789-4459",
            "fax_number": "919-789-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 HARDEN RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073369",
            "telephone_number": "919-789-4459",
            "fax_number": "919-789-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VON ALTEN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-789-4459",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, ATC-L, CSCI, CPI"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "013F3",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

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