Active NPI
Progress Physical Therapy
- Sports Physical Therapist
- Raleigh, NC
National Provider Identifier
1174630107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- 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
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, CPI
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013F3 | Other | NC | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Raleigh, NC
- NPI 1275641201
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
- Professional Group Living,LLC
- Professional Healthcare, LLC
- Professional Opticians of Raleigh, Inc.
- Professional Orthotics & Prosthetics, Inc.
- Professional Sports Medicine & Athletic Training Consultant Services,
- Progress Up ABA LLC
- Progress Weight Loss, PC
- Progressive Healthcare & Counseling Services Inc.
- Progressive Healthcare & Counseling Services Inc.
- Progressive Healthcare & Counseling Services, Inc
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.