Progress Neuro LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PROGRESS NEURO LLC

Practice address

409 W Canal St
Ansonia, OH 45303-5154

Phone

(937) 303-4644

NPI assigned

May 11, 2021

Last updated

May 11, 2021By 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

Ms. Amber J Dishman, MA/CCC-SLP

Title

Speech Language Pathologist/Owner

Phone

(937) 303-4644

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1669056016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 718",
            "city": "ANSONIA",
            "state": "OH",
            "postal_code": "453030709",
            "telephone_number": "937-303-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W CANAL ST",
            "city": "ANSONIA",
            "state": "OH",
            "postal_code": "453035154",
            "telephone_number": "937-303-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS NEURO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "DISHMAN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "937-303-4644",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA/CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@progressneuro.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "laptop",
            "address_1": "409 W Canal St",
            "city": "Ansonia",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453035154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.