NPIMap

Organization Active NPI

Progressive Therapy Associates, LLC

  • Physical Therapy Clinic/Center
  • Council Bluffs, IA
National Provider Identifier
1679977367
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
005243 Issued in IA
Legal business name
PROGRESSIVE THERAPY ASSOCIATES, LLC
Practice address
1239 Crescent Dr
Council Bluffs, IA 51503-1340
Phone
(402) 575-7027
NPI assigned
Oct 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Rebecca Smith, PT, DPT
Title
Owner,Physical Therapist
Phone
(402) 575-7027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 005243 IA Primary

Addresses

Primary practice location

1239 Crescent Dr
Council Bluffs, IA 51503-1340

Mailing address

1239 Crescent Dr
Council Bluffs, IA 51503-1340
Phone (402) 575-7027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1679977367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 CRESCENT DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031340",
            "telephone_number": "402-575-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 CRESCENT DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031340",
            "telephone_number": "402-575-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER,PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "402-575-7027",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IA",
            "license": "005243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.