Organization Active NPI

Progressive Therapeutics, PC

  • Physical Therapy Clinic/Center
  • Orland Park, IL
National Provider Identifier
1356456057
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
53000087A Issued in IN
Legal business name
PROGRESSIVE THERAPEUTICS, PC
Practice address
16610 S. 107TH St
Orland Park, IL 60467-8898
Phone
(708) 364-7500
Fax
(708) 364-7555
NPI assigned
Aug 20, 2006
Last updated
Apr 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Tarek El-Shikh, PT, DPT
Title
Owner, President.
Phone
(708) 623-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 53000087A IN Primary

Addresses

Primary practice location

16610 S. 107TH St
Orland Park, IL 60467-8898

Mailing address

16610 S. 107TH St
Orland Park, IL 60467-8898
Phone (708) 364-7500

Other identifiers 2

IdentifierTypeStateIssuer
201070OtherINMEDICARE PTAN
IL5301OtherILMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

80 E Cermak Rd
Unit A1
Chicago, IL 60616
Phone (312) 328-6661

16610 107th St
Orland Park, IL 60467
Phone (708) 364-7500

7123 Indianapolis Blvd
Hammond, IN 46324
Phone (219) 844-8880

8955 Broadway
Merrillville, IN 46410
Phone (219) 472-0066

Practitioners & affiliated clinicians

Practitioners 2

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1356456057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16610 S. 107TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678898",
            "telephone_number": "708-364-7500",
            "fax_number": "708-364-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16610 S. 107TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678898",
            "telephone_number": "708-364-7500",
            "fax_number": "708-364-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE THERAPEUTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "EL-SHIKH",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "OWNER, PRESIDENT.",
        "authorized_official_telephone_number": "708-623-4222",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "53000087A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "201070",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL5301",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.