Progressive Trucare, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROGRESSIVE TRUCARE, LLC

Practice address

11915 E Broadway Ave
Ste 101
Spokane Valley, WA 99206-4997

Phone

(509) 228-9404

Fax

(509) 228-9403

NPI assigned

Apr 9, 2013

Organization subpart

No

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

Authorized official

Name

Kathy Moreau

Title

Office Manager

Phone

(509) 228-9404

Specialties & licenses 1

Addresses

Other names 1

• Progressive TruCare Physical Therapy Other name

Locations

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1376986398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11915 E BROADWAY AVE",
            "address_2": "STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064997",
            "telephone_number": "509-228-9404",
            "fax_number": "509-228-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11915 E BROADWAY AVE",
            "address_2": "STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064997",
            "telephone_number": "509-228-9404",
            "fax_number": "509-228-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE TRUCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "MOREAU",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-228-9404"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive TruCare Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Prodigy Dental Arts
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• Professional Hearing Corporation
• Professional Training Solutions, LLC
• Progressive Physical Therapy, Inc
• Sanja Proszek, ARNP
• Providence Health & Services - Washington
• Providence Health & Services - Washington
• Providence Health & Services - Washington
• Providence Health & Services Washington

• Physical Therapy Clinic/Center in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.