NPIMap

Organization Active NPI

Progress Rehabilitation Network, LLC

Doing business as Integrated Sports Medicine & Physical Therapy of Loudoun

  • Physical Therapist
  • Leesburg, VA
National Provider Identifier
1447379748
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROGRESS REHABILITATION NETWORK, LLC
Doing business as
Integrated Sports Medicine & Physical Therapy of Loudoun
Practice address
19441 Golf Vista Plaza
Suite 230
Leesburg, VA 20176-8271
Phone
(703) 724-7474
Fax
(703) 724-9232
NPI assigned
Mar 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jerry Orrison Pumphrey, P.T.NPI 1316999766
Title
President, Member
Phone
(804) 756-8495

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X VA Primary

Addresses

Primary practice location

19441 Golf Vista Plaza
Suite 230
Leesburg, VA 20176-8271

Mailing address

19441 Golf Vista Plaza
Suite 230
Leesburg, VA 20176-8271
Phone (703) 724-7474

Other names 1

  • Integrated Sports Medicine & Physical Therapy of Loudoun Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Integrated Sports Medicine Physical Therapy of Loudoun3 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.

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447379748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19441 GOLF VISTA PLAZA",
            "address_2": "SUITE 230",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768271",
            "telephone_number": "703-724-7474",
            "fax_number": "703-724-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19441 GOLF VISTA PLAZA",
            "address_2": "SUITE 230",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768271",
            "telephone_number": "703-724-7474",
            "fax_number": "703-724-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS REHABILITATION NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUMPHREY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "ORRISON",
        "authorized_official_title_or_position": "PRESIDENT, MEMBER",
        "authorized_official_telephone_number": "804-756-8495",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Sports Medicine & Physical Therapy of Loudoun",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.