Organization Active NPI

Progressive Rehabilitation Physical Therapy

  • Physical Therapy Clinic/Center
  • Nanuet, NY
National Provider Identifier
1497530836
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PROGRESSIVE REHABILITATION PHYSICAL THERAPY
Practice address
156 Lake Nanuet Dr
Nanuet, NY 10954-3516
Phone
(845) 270-0855
NPI assigned
Aug 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Lijo Joseph, PT DPT
Title
Owner
Phone
(845) 270-0855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

156 Lake Nanuet Dr
Nanuet, NY 10954-3516

Mailing address

156 Lake Nanuet Dr
Nanuet, NY 10954-3516
Phone (845) 270-0855

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1497530836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 LAKE NANUET DR",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543516",
            "telephone_number": "845-270-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 LAKE NANUET DR",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543516",
            "telephone_number": "845-270-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE REHABILITATION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "LIJO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-270-0855",
        "authorized_official_credential": "PT DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.