Progressive Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0400003411 Issued in VT

Legal business name

PROGRESSIVE PHYSICAL THERAPY LLC

Practice address

504A Main St
Suite 1
Bennington, VT 05201-2111

Phone

(802) 375-4639

Fax

(802) 442-6423

NPI assigned

Apr 28, 2010

Last updated

Mar 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer J Smith, P.T.NPI 1770791808

Title

Owner

Phone

(802) 375-4639

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jennifer Jude Smith, P.T.

  • Physical Therapist
  • Bennington, VT
  • NPI 1770791808
  Authorized official Same address or phone
• Amy Kjelgaard Van Der Kar, PT

  • Specialist
  • Bennington, VT
  • NPI 1770781387
  NPD (past)

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1538486709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504A MAIN ST",
            "address_2": "SUITE 1",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012111",
            "telephone_number": "802-375-4639",
            "fax_number": "802-442-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504A MAIN ST",
            "address_2": "SUITE 1",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012111",
            "telephone_number": "802-375-4639",
            "fax_number": "802-442-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-375-4639",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400003411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Potter, LPN
• Benjamin Prandini, MS
• Ashley Prestipino
• Price Chopper Operating Co of Vermont Inc (Price Chopper Pharmacy)
• Primary Care Health Partners
• Kristin Williams Propp, M.A.
• Louis Propp, PSY.D.
• Spencer Proulx, CAA
• Richard Joseph Provenzano, M.D.
• Tiffany Racicot

• Physical Therapist in Bennington, VT
• Providers in Bennington, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.