Progressive Personal Care

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

PROGRESSIVE PERSONAL CARE

Practice address

1921 Oxford St
Missoula, MT 59801-6640

Phone

(406) 251-9333

Fax

(406) 543-6043

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly M Reynolds

Title

Owner

Phone

(406) 251-9333

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1750428520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 OXFORD ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016640",
            "telephone_number": "406-251-9333",
            "fax_number": "406-543-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 OXFORD ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016640",
            "telephone_number": "406-251-9333",
            "fax_number": "406-543-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-251-9333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0470781",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PCG653",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0601443",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Rae Preston, RDN
• Christopher Ralph Price, M.D.
• Jessica Price
• Daniel R. Prideaux, D.C.
• Primal Practice
• Michelle Ann Proper, M.D.
• Daniel Eugene Propp, M.D.
• Deidre Mae Pross
• Providence Health & Services Mt (Providence St Patrick Hospital)
• Providence Health & Services Mt (PMG MT Spine & Pain)

• Supports Brokerage Agency in Missoula, MT
• Providers in Missoula, MT by specialty
• Supports Brokerage Agency in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.