Active NPI
Progressive Rehab, Inc.
- Physical Therapist
- Nashville, NC
National Provider Identifier
1538263173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2603
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.