Active NPI
Progressstep
- Physical Therapy Assistant
- Manitowoc, WI
National Provider Identifier
1548474521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Legal business name
- PROGRESSSTEP
- Practice address
- 960 S Rapids Rd
Manitowoc, WI 54220-4146 - Phone
- (920) 684-1144
- Fax
- (920) 482-0651
- NPI assigned
- May 9, 2007
- Last updated
- Aug 22, 2020
- 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
- Ms. Debra Kay Carstens, P.T.A.
- Title
- P.T.a.
- Phone
- (920) 684-1144
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | WI | Primary |
Addresses
Primary practice location
960 S Rapids Rd
Manitowoc, WI 54220-4146
Mailing address
1903 Richmond Ave
Manitowoc, WI 54220-1750
Phone (920) 684-5480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40235700 | Medicaid | WI |
Other names 1
- Extended
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapy Assistant
- Manitowoc, WI
- NPI 1134311996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1548474521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 RICHMOND AVE",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542201750",
"telephone_number": "920-684-5480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 S RAPIDS RD",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204146",
"telephone_number": "920-684-1144",
"fax_number": "920-482-0651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROGRESSSTEP",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARSTENS",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "P.T.A.",
"authorized_official_telephone_number": "920-684-1144",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "P.T.A."
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40235700",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Extended",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.