Organization Active NPI

Progressive Therapeutic Services

  • Developmentally Disabled Services Day Training Agency
  • Homewood, IL
National Provider Identifier
1346619541
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PROGRESSIVE THERAPEUTIC SERVICES
Practice address
1133 175TH St
Homewood, IL 60430-4604
Phone
(708) 339-0110
Fax
(708) 455-8546
NPI assigned
Sep 17, 2015
Last updated
Sep 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Ms. Syretta West
Title
Director
Phone
(708) 600-1056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X IL Primary

Addresses

Primary practice location

1133 175TH St
Homewood, IL 60430-4604

Mailing address

1133 175TH St
Homewood, IL 60430-4604
Phone (708) 339-0110

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1346619541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 175TH ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604304604",
            "telephone_number": "708-339-0110",
            "fax_number": "708-455-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 175TH ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604304604",
            "telephone_number": "708-339-0110",
            "fax_number": "708-455-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "SYRETTA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-600-1056",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.