Progressive Spinal & Rehab

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

006388 Issued in GA

Legal business name

PROGRESSIVE SPINAL & REHAB

Practice address

777 Cleveland Ave SW Ste 406
Atlanta, GA 30315-7119

Phone

(770) 876-6972

Fax

(770) 452-2844

NPI assigned

Sep 13, 2012

Organization subpart

No

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

Authorized official

Name

Brian Bonner, DC

Title

Office Manager

Phone

(770) 876-6972

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1538419981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW STE 406",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157119",
            "telephone_number": "770-876-6972",
            "fax_number": "770-452-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW STE 406",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157119",
            "telephone_number": "770-876-6972",
            "fax_number": "770-452-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE SPINAL & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-876-6972",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "006388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Medical Center, PC
• Progressive Medical Centers of America LTD
• Progressive Option Support Services Behavioral Health
• Progressive Pain Management, PC
• Progressive Redevelopment
• Progressive Women'S Healthcare
• Caroline Proia
• Project Karma, Inc.
• Project Open Hand Atlanta Inc.
• Project Reach Back Consultants LLC

• Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.