Progressive Sports Medicine, PC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

PROGRESSIVE SPORTS MEDICINE, PC

Practice address

404 McFarlan Rd
Suite 201
Kennett Square, PA 19348-2479

Phone

(610) 444-5406

Fax

(610) 444-5907

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Michael J. Graveley, MD

Title

Owner

Phone

(610) 444-5406

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1780806240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MCFARLAN RD",
            "address_2": "SUITE 201",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482479",
            "telephone_number": "610-444-5406",
            "fax_number": "610-444-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MCFARLAN RD",
            "address_2": "SUITE 201",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482479",
            "telephone_number": "610-444-5406",
            "fax_number": "610-444-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE SPORTS MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "GRAVELEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-444-5406",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101967721-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Orthopaedic and Sports Medicine Associates, LTD
• Premier Urgent Care at Kennett Square, LLC
• Ashley Suzanne Preston, OTR/L
• Craig Prince, R.PH.
• Professional Podiatry LLC
• Debra Pronzato, MS, PT
• Alan Raymond Quinn, PH.D.
• Quraishi Medical Practices, LLC
• Uzma A Quraishi, MD
• Sydney Grace Rabold

• Sports Medicine (Family Medicine) Physician in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Sports Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.