Organization Active NPI

Progressive Rehabilitation

  • Physical Therapist
  • Crestview Hills, KY
National Provider Identifier
1285651356
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROGRESSIVE REHABILITATION
Practice address
2845 Chancellor Drive
Crestview Hills, KY 41017-3452
Phone
(859) 426-5888
Fax
(859) 426-0059
NPI assigned
Jul 16, 2006
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Joann M Terry, PT
Title
President
Phone
(859) 426-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2845 Chancellor Drive
Crestview Hills, KY 41017-3452

Mailing address

PO Box 633138
Cincinnati, OH 45263-3138
Phone (859) 426-5888

Other identifiers 1

IdentifierTypeStateIssuer
8790061900MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1285651356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633138",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452633138",
            "telephone_number": "859-426-5888",
            "fax_number": "859-426-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 CHANCELLOR DRIVE",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173452",
            "telephone_number": "859-426-5888",
            "fax_number": "859-426-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-426-5888",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8790061900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.