Active NPI
Progressive Physical Therapy, PA
- Physical Therapist
- Spartanburg, SC
National Provider Identifier
1184963019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PROGRESSIVE PHYSICAL THERAPY, PA
- Practice address
- 1762 E Main St
Spartanburg, SC 29307-2231 - Phone
- (843) 573-5075
- Fax
- (843) 573-5304
- NPI assigned
- Feb 13, 2013
- 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
- Dr. Barry Fitch, DPT
- Title
- President
- Phone
- (803) 731-4055
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
1762 E Main St
Spartanburg, SC 29307-2231
Mailing address
1818 Henderson St
Columbia, SC 29201-2619
Phone (803) 758-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP0231 | Medicaid | SC |
Other names 1
- Progressive Physical Therapy Hillcrest
National Provider Directory
National Provider DirectoryLocations
1762 E Main St
Spartanburg, SC 29307
Phone (864) 573-5075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360713600000",
"number": "1184963019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 HENDERSON ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012619",
"telephone_number": "803-758-2600",
"fax_number": "803-253-8896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1762 E MAIN ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293072231",
"telephone_number": "843-573-5075",
"fax_number": "843-573-5304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROGRESSIVE PHYSICAL THERAPY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-13",
"last_updated": "2013-02-13",
"status": "A",
"authorized_official_last_name": "FITCH",
"authorized_official_first_name": "BARRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "803-731-4055",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"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
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP0231",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Progressive Physical Therapy Hillcrest",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.