Progressive Rehabilitation Solutions LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROGRESSIVE REHABILITATION SOLUTIONS LLC

Practice address

2494 Cheswick LN
Mount Pleasant, SC 29466-8638

Phone

(215) 534-2381

NPI assigned

Mar 18, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Steven Bevilacqua, PTANPI 1184128597

Title

MBR

Phone

(215) 534-2381

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 2

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

• Kristin E Bevilacqua, PT

  • Physical Therapist
  • Columbia, SC
  • NPI 1992000293
  Medicare reassignment NPD
• Steven Michael Bevilacqua

  • Geriatric Physical Therapist
  • Mount Pleasant, SC
  • NPI 1184128597

  Geriatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1669975496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2494 CHESWICK LN",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668638",
            "telephone_number": "215-534-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2494 CHESWICK LN",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668638",
            "telephone_number": "215-534-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE REHABILITATION SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-18",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "BEVILACQUA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "215-534-2381",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "3143",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH3758",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Katherine C Proffer, FNP
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• Paris Nicole Prohaska, M.S. CCC-SLP
• Chrysti Propes
• Psychology Associates of NH Pleasant PA
• Publix Super Markets Inc
• Publix Super Markets Inc

• All providers in Mount Pleasant, SC
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.