NPIMap

Organization Active NPI

Progress Rehabilitation Network LLC

  • Physical Therapist
  • Glen Allen, VA
National Provider Identifier
1760434948
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROGRESS REHABILITATION NETWORK LLC
Practice address
5300 Hickory Park Dr
Suite 110
Glen Allen, VA 23059-2629
Phone
(804) 756-8495
Fax
(804) 270-7756
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Mr. Jerry Orrison Pumphrey, PT, DPT
Title
MBR/Managing Partner/President
Phone
(804) 756-8495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5300 Hickory Park Dr
Suite 110
Glen Allen, VA 23059-2629

Mailing address

5300 Hickory Park Dr
Suite 110
Glen Allen, VA 23059-2629
Phone (804) 756-8495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060918000110 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3779588256 Receives reassigned benefits from 28 practitioners
Practice locations: Richmond, VA; Midlothian, VA; Mechanicsville, VA; Glen Allen, VA; Gainesville, VA; Leesburg, VA
O20080424000722 DC Part B Supplier - Clinic/Group Practice 3779588256 Receives reassigned benefits from 10 practitioners
Practice locations: Fairfax, VA; Fairfax Station, VA

National Provider Directory

National Provider Directory
Tax ID family
Integrated Sports Medicine Physical Therapy of Loudoun3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2100 Solar Dr
Ste 203
Oxnard, CA 93036

3998 Fair Ridge Dr
Ste 125
Fairfax, VA 22033
Phone (703) 646-1270

5618H Ox Rd
Fairfax Station, VA 22039
Phone (703) 426-4949

13575 Heathcote Blvd
Ste 250
Gainesville, VA 20155
Phone (571) 261-9900

5300 Hickory Park Dr
Ste 110
Glen Allen, VA 23059
Phone (804) 270-7754

19500 Sandridge Way
Ste 230
Leesburg, VA 20176
Phone (703) 724-7272

7415 Lee Davis Rd
Mechanicsvlle, VA 23111
Phone (804) 559-2900

2436 Colony Crossing Pl
Ste 2
Midlothian, VA 23112
Phone (804) 270-7754

3001 Hungary Spring Rd
Ste D
Richmond, VA 23228
Phone (804) 756-8490

5711 S Laburnum Ave
Richmond, VA 23231
Phone (804) 447-5355

100 Powers Ct
Sterling, VA 20166

Practitioners 50

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

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1760434948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 HICKORY PARK DR",
            "address_2": "SUITE 110",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592629",
            "telephone_number": "804-756-8495",
            "fax_number": "804-270-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 HICKORY PARK DR",
            "address_2": "SUITE 110",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592629",
            "telephone_number": "804-756-8495",
            "fax_number": "804-270-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS REHABILITATION NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "PUMPHREY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "ORRISON",
        "authorized_official_title_or_position": "MBR/MANAGING PARTNER/PRESIDENT",
        "authorized_official_telephone_number": "804-756-8495",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.