Organization Active NPI

Progressive Rehab, Inc.

  • Physical Therapist
  • Nashville, NC
National Provider Identifier
1538263173
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2603 Issued in NC
Legal business name
PROGRESSIVE REHAB, INC.
Practice address
143 Nashville Commons Drive
Nashville, NC 27856
Phone
(252) 459-5565
Fax
(252) 459-5568
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Mrs. Kelly Shaffer Jenkins, P.T.
Title
President
Phone
(252) 459-5565

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2603 NC Primary
Physical Therapy Clinic/Center 261QP2000X 2603 NC

Addresses

Primary practice location

143 Nashville Commons Drive
Nashville, NC 27856

Mailing address

P.O. Box 7594
Rocky Mount, NC 27804
Phone (252) 459-5565

National Provider Directory

National Provider Directory

Locations

115C W Nashville Dr
Nashville, NC 27856
Phone (252) 459-5565

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1538263173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 7594",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "252-459-5565",
            "fax_number": "252-459-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 NASHVILLE COMMONS DRIVE",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "27856",
            "telephone_number": "252-459-5565",
            "fax_number": "252-459-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "SHAFFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-459-5565",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2603",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "2603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.