NPIMap

Organization Active NPI

Progressive Beginnings, LLC

  • Rehabilitation Clinic/Center
  • Sheboygan, WI
National Provider Identifier
1598886152
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PROGRESSIVE BEGINNINGS, LLC
Practice address
1125 N 13TH St
Sheboygan, WI 53081-3281
Phone
(920) 803-1617
Fax
(920) 803-1622
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Authorized official

Name
Mr. John L Elmendorf III, OTR
Title
Owner
Phone
(920) 803-1617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1125 N 13TH St
Sheboygan, WI 53081-3281

Mailing address

1125 N 13TH St
Sheboygan, WI 53081-3281
Phone (920) 803-1617

Other practice location 1

N4901 Dam Rd
Delavan, WI 53115-2927
Phone (920) 803-1617

Other practice location 2

1500 O'Day Street
Merrill, WI 54452-5445
Phone (715) 539-5591

Other identifiers 1

IdentifierTypeStateIssuer
41813000MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SHEBOYGAN Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111020000164 WI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 7012189848 Practice locations: Sheboygan, WI
O20141208001324 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012189848 Receives reassigned benefits from 1 practitioner
Practice locations: Sheboygan, WI

Outpatient physical therapy / speech pathology certification: CCN 526588

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PROGRESSIVE BEGINNINGS
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Feb 23, 2000
Last certification
Sep 13, 2022
Ownership / control type
Proprietary
Facility address
1125 N 13TH St
Sheboygan, WI 53081

National Provider Directory

National Provider Directory

Locations

2131 S Business Dr
Sheboygan, WI 53081
Phone (920) 803-1617

1125 N 13th St
Sheboygan, WI 53081
Phone (920) 208-9648

Practitioners & affiliated clinicians

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1598886152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N 13TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813281",
            "telephone_number": "920-803-1617",
            "fax_number": "920-803-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N 13TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813281",
            "telephone_number": "920-803-1617",
            "fax_number": "920-803-1622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N4901 Dam Rd",
            "address_purpose": "LOCATION",
            "city": "Delavan",
            "state": "WI",
            "postal_code": "531152927",
            "country_code": "US",
            "telephone_number": "920-803-1617",
            "fax_number": "920-803-1622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 O'Day Street",
            "address_purpose": "LOCATION",
            "city": "Merrill",
            "state": "WI",
            "postal_code": "544525445",
            "country_code": "US",
            "telephone_number": "715-539-5591",
            "fax_number": "920-803-1622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSIVE BEGINNINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2021-07-27",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "ELMENDORF",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-803-1617",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41813000",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SHEBOYGAN",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1125 N 13th St",
            "city": "Sheboygan",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530813281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.