Active NPI
Progressive Rehab Care, LLC
- Physical Therapist
- Lillington, NC
National Provider Identifier
1336127448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PROGRESSIVE REHAB CARE, LLC
- Practice address
- 1901 N Main St
Lillington, NC 27546-6824 - Phone
- (910) 814-1555
- Fax
- (910) 814-1556
- NPI assigned
- Jan 9, 2006
- Last updated
- Jul 11, 2007
- 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
- Mr. Sanjay Khetarpal
- Title
- Member Manager
- Phone
- (910) 814-1555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1901 N Main St
Lillington, NC 27546-6824
Mailing address
PO Box 629
Mauldin, SC 29662-0629
Phone (910) 814-1555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7211831 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1901 N Main St
Lillington, NC 27546
Phone (910) 814-1555
1901 N Main St
Ste C
Lillington, NC 27546
Phone (910) 814-1555
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Occupational Therapist
- Cary, NC
- NPI 1467530345
-
- Physical Therapist
- Lillington, NC
- NPI 1194813261
-
- Physical Therapist
- Lillington, NC
- NPI 1194749572
-
- Physical Therapist
- Cary, NC
- NPI 1518060532
-
- Occupational Therapist
- Cary, NC
- NPI 1720011299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184112000000",
"number": "1336127448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 629",
"city": "MAULDIN",
"state": "SC",
"postal_code": "296620629",
"telephone_number": "910-814-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N MAIN ST",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275466824",
"telephone_number": "910-814-1555",
"fax_number": "910-814-1556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROGRESSIVE REHAB CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-09",
"last_updated": "2007-07-11",
"status": "A",
"authorized_official_last_name": "KHETARPAL",
"authorized_official_first_name": "SANJAY",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "910-814-1555",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211831",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lillington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.