Organization Active NPI

Progressive Rehab LLC

  • Physical Therapy Clinic/Center
  • Montgomery Village, MD
National Provider Identifier
1407292295
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
20105 Issued in MD
Legal business name
PROGRESSIVE REHAB LLC
Practice address
18566 Office Park Dr
Montgomery Village, MD 20886-0587
Phone
(301) 519-2522
NPI assigned
May 20, 2013
Last updated
Jun 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Mr. Ilyas H Zaidi, P.T.NPI 1447596663
Title
P.T.
Phone
(301) 519-2522

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
Physical Therapy Clinic/Center 261QP2000X 20105 MD Primary

Addresses

Primary practice location

18566 Office Park Dr
Montgomery Village, MD 20886-0587

Mailing address

18527 Reliant Dr
Gaithersburg, MD 20879-5419
Phone (301) 526-3972

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1407292295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18527 RELIANT DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208795419",
            "telephone_number": "301-526-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18566 OFFICE PARK DR",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208860587",
            "telephone_number": "301-519-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "ZAIDI",
        "authorized_official_first_name": "ILYAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "P.T.",
        "authorized_official_telephone_number": "301-519-2522",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "20105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery Village, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.