NPIMap

Organization Active NPI

Progressive Therapeutics LLC

  • Psychiatry Physician
  • Framingham, MA
National Provider Identifier
1386838266
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PROGRESSIVE THERAPEUTICS LLC
Practice address
1881 Worcester Rd Ste 203
Framingham, MA 01701-5410
Phone
(508) 834-3183
Fax
(508) 532-1168
NPI assigned
Sep 4, 2007
Last updated
Oct 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Dr. Nimish Shah, DNPNPI 1023058328
Title
Co-Owner
Phone
(508) 834-3183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

1881 Worcester Rd Ste 203
Framingham, MA 01701-5410

Mailing address

1881 Worcester Rd Ste 203
Framingham, MA 01701-5410
Phone (508) 834-3183

Other practice location 1

600 Worcester Rd Ste 203
Framingham, MA 01702-5360
Phone (508) 834-3183

Other practice location 2

201 Great Rd Ste 202
Acton, MA 01720-5700
Phone (508) 834-3183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090224000310 MA Part B Supplier - Clinic/Group Practice 9638234750 Receives reassigned benefits from 14 practitioners
Practice locations: Acton, MA; Framingham, MA

National Provider Directory

National Provider Directory

Locations

201 Great Rd
Ste 202
Acton, MA 01720
Phone (508) 834-3181

1881 Worcester Rd
Ste 203
Framingham, MA 01701
Phone (508) 834-3183

600 Worcester Rd
Ste 203
Framingham, MA 01702
Phone (508) 834-3183

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1386838266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 WORCESTER RD STE 203",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015410",
            "telephone_number": "508-834-3183",
            "fax_number": "508-532-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 WORCESTER RD STE 203",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015410",
            "telephone_number": "508-834-3183",
            "fax_number": "508-532-1168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Worcester Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017025360",
            "country_code": "US",
            "telephone_number": "508-834-3183",
            "fax_number": "508-532-1168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Great Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Acton",
            "state": "MA",
            "postal_code": "017205700",
            "country_code": "US",
            "telephone_number": "508-834-3183",
            "fax_number": "508-532-1168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSIVE THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NIMISH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "508-834-3183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.