NPIMap

Organization Active NPI

TTJ, Inc

Doing business as Progressive Therapy

  • Physical Therapist
  • Glenwood, AR
National Provider Identifier
1356755771
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TTJ, INC
Doing business as
Progressive Therapy
Practice address
204 East Broadway
Glenwood, AR 71943
Phone
(870) 681-1236
NPI assigned
Jun 13, 2014
Last updated
Jun 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Mr. Ryan A Williams
Title
President
Phone
(501) 470-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

204 East Broadway
Glenwood, AR 71943

Mailing address

582 Highway 365 Ste 3
Mayflower, AR 72106-9525

Other identifiers 1

IdentifierTypeStateIssuer
198407742MedicaidAR

Other names 1

  • Progressive Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Progressive Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

204 E Broadway
Glenwood, AR 71943
Phone (501) 470-3500

582 Highway 365
Ste 3
Mayflower, AR 72106
Phone (501) 470-3500

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1356755771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 HIGHWAY 365 STE 3",
            "city": "MAYFLOWER",
            "state": "AR",
            "postal_code": "721069525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 EAST BROADWAY",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "71943",
            "telephone_number": "870-681-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TTJ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-470-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198407742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.