NPIMap

Organization Active NPI

Progressive Physical Therapy, LLC

Doing business as PHOENIX Rehabilitation and Health Services, LLC

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1487139309
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROGRESSIVE PHYSICAL THERAPY, LLC
Doing business as
PHOENIX Rehabilitation and Health Services, LLC
Practice address
4001 Brandywine St NW Ste 301
Washington, DC 20016-1876
Phone
(202) 516-5697
Fax
(202) 735-5258
NPI assigned
Sep 26, 2018
Last updated
Jan 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Brenda Metal-Confer
Title
Sr. Credentialing
Phone
(724) 448-2733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

4001 Brandywine St NW Ste 301
Washington, DC 20016-1876

Mailing address

PO Box 392573
Pittsburgh, PA 15251-9573
Phone (724) 584-5739

Other identifiers 1

IdentifierTypeStateIssuer
225210400MedicaidMD

Other names 1

  • PHOENIX Rehabilitation and Health Services, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Progressive Physical Therapy LLC27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

4001 Brandywine St NW
Ste 301
Washington, DC 20016
Phone (202) 516-5697

Practitioners & affiliated clinicians

Practitioners 97

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 97

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1487139309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519573",
            "telephone_number": "724-584-5739",
            "fax_number": "724-343-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 BRANDYWINE ST NW STE 301",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200161876",
            "telephone_number": "202-516-5697",
            "fax_number": "202-735-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "METAL-CONFER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "SR. CREDENTIALING",
        "authorized_official_telephone_number": "724-448-2733"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225210400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHOENIX Rehabilitation and Health Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHOENIX Rehabilitation and Health Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.