NPIMap

Organization Active NPI

Progressive Physical Therapy PC

  • Physical Therapist
  • Green Valley, AZ
National Provider Identifier
1215995493
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROGRESSIVE PHYSICAL THERAPY PC
Practice address
155 W Duval Rd
Green Valley, AZ 85614-4207
Phone
(520) 648-3132
Fax
(520) 648-1861
NPI assigned
May 3, 2006
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Marie Elizabeth Olsen
Title
Clinic Administrator/Co-Owner
Phone
(520) 648-3132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X AZ Primary

Addresses

Primary practice location

155 W Duval Rd
Green Valley, AZ 85614-4207

Mailing address

155 W Duval Rd
Green Valley, AZ 85614-4207
Phone (520) 648-3132

Other identifiers 3

IdentifierTypeStateIssuer
954710OtherAZAHCCCS (HEALTH CARE)
AZ0463820OtherAZBCBS PROVIDER NUMBER
610164200OtherAZDEPT OF LABOR PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050719000943 AZ Part B Supplier - Clinic/Group Practice 8921035296 Receives reassigned benefits from 4 practitioners
Practice locations: Green Valley, AZ

National Provider Directory

National Provider Directory

Locations

1151 S La Canada Dr
Ste 100
Green Valley, AZ 85614
Phone (520) 648-3132

155 W Duval Rd
Green Valley, AZ 85614
Phone (520) 648-3132

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1215995493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W DUVAL RD",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856144207",
            "telephone_number": "520-648-3132",
            "fax_number": "520-648-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W DUVAL RD",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856144207",
            "telephone_number": "520-648-3132",
            "fax_number": "520-648-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR/CO-OWNER",
        "authorized_official_telephone_number": "520-648-3132"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS (HEALTH CARE)",
            "identifier": "954710",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "AZ0463820",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR PROVIDER #",
            "identifier": "610164200",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.