NPIMap

Organization Active NPI

Progressive Pediatric Therapy

  • Pediatric Physical Therapist
  • Winston Salem, NC
National Provider Identifier
1255658431
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
8311 Issued in NC
Legal business name
PROGRESSIVE PEDIATRIC THERAPY
Practice address
229 Plymouth Ave
Winston Salem, NC 27104-3025
Phone
(336) 760-4401
NPI assigned
Apr 27, 2010
Last updated
Apr 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Emily Parrish Smith, PT, DPT
Title
Physical Therapist/Director
Phone
(336) 760-4401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X 8311 NC Primary

Addresses

Primary practice location

229 Plymouth Ave
Winston Salem, NC 27104-3025

Mailing address

229 Plymouth Ave
Winston Salem, NC 27104-3025
Phone (336) 760-4401

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1255658431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 PLYMOUTH AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043025",
            "telephone_number": "336-760-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 PLYMOUTH AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043025",
            "telephone_number": "336-760-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "PARRISH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/DIRECTOR",
        "authorized_official_telephone_number": "336-760-4401",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "8311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.