NPIMap

Organization Active NPI

Progressive Health and Rehab Corp

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Gahanna, OH
National Provider Identifier
1376535781
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
34004565 Issued in OH
Legal business name
PROGRESSIVE HEALTH AND REHAB CORP
Practice address
358 S Hamilton Rd
Suite B
Gahanna, OH 43230-3311
Phone
(614) 471-5442
Fax
(614) 471-5462
NPI assigned
Aug 22, 2005
Last updated
Dec 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Authorized official

Name
Dr. Anthony Charles Yannessa, D.C.NPI 1972590834
Title
President
Phone
(614) 471-5442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X 2080 OH
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 34004565 OH Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT10430 OH

Addresses

Primary practice location

358 S Hamilton Rd
Suite B
Gahanna, OH 43230-3311

Mailing address

358 S Hamilton Rd
Suite B
Gahanna, OH 43230-3311
Phone (614) 471-5442

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1376535781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 S HAMILTON RD",
            "address_2": "SUITE B",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303311",
            "telephone_number": "614-471-5442",
            "fax_number": "614-471-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 S HAMILTON RD",
            "address_2": "SUITE B",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303311",
            "telephone_number": "614-471-5442",
            "fax_number": "614-471-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HEALTH AND REHAB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "YANNESSA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-471-5442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "OH",
            "license": "2080",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OH",
            "license": "34004565",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT10430",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.