Progressive Spine Care & Rehabilitation Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

R8F94 Issued in MO

Legal business name

PROGRESSIVE SPINE CARE & REHABILITATION CLINIC

Practice address

3301 Berrywood Dr
Suite #101
Columbia, MO 65201-6517

Phone

(573) 442-2442

Fax

(573) 634-3146

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Brenda L Woods, D.O.NPI 1770681686

Title

Owner/President

Phone

(573) 442-2442

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda L Woods, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Columbia, MO
  • NPI 1770681686
  NPD (past) Authorized official
• Joel T Jeffries, MD

  • Orthopaedic Surgery Physician
  • Columbia, MO
  • NPI 1447207048
  NPD (past)
• Lynn D Mitchell, M.D.

  • Internal Medicine Physician
  • Columbia, MO
  • NPI 1669610093
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1205935103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 BERRYWOOD DR",
            "address_2": "SUITE #101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016517",
            "telephone_number": "573-442-2442",
            "fax_number": "573-634-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 BERRYWOOD DR",
            "address_2": "SUITE #101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016517",
            "telephone_number": "573-442-2442",
            "fax_number": "573-634-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE SPINE CARE & REHABILITATION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "573-442-2442",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "R8F94",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Proctor
• Proctors Provision LLC.
• Lori A Proe, D.O.
• Professional Accounting Services for Optometry
• Professional Imaging Columbia, LLC
• Prorehab PC
• Leslie N Prosser, FNP-C
• Providence Home Care LLC
• Providence Urgent Care LLC
• Daylan Sue Pryor, RDH

• Specialist in Columbia, MO
• Providers in Columbia, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.