NPIMap

Organization Active NPI

Progressive Physical Therapy

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1780901793
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1529 Issued in AK
Legal business name
PROGRESSIVE PHYSICAL THERAPY
Practice address
718 K St Ste D
Anchorage, AK 99501-3318
Phone
(907) 748-0022
Fax
(907) 277-0022
NPI assigned
Apr 29, 2010
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Tarah Adrienne Sweeney, PTNPI 1881981546
Title
Owner
Phone
(907) 748-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1529 AK Primary

Addresses

Primary practice location

718 K St Ste D
Anchorage, AK 99501-3318

Mailing address

718 K St Ste D
Anchorage, AK 99501-3318
Phone (907) 748-0022

Other practice location 1

2221 E Northern Lights Blvd Ste 106
Anchorage, AK 99508-4140
Phone (907) 748-0022

Other practice location 2

135 W Dimond Blvd Ste 101
Anchorage, AK 99515-1907
Phone (907) 748-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211109000580 AK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2668861931 Receives reassigned benefits from 23 practitioners
Practice locations: Anchorage, AK; Palmer, AK

National Provider Directory

National Provider Directory

Locations

1343 G St
Ste 100
Anchorage, AK 99501
Phone (907) 748-0022

135 W Dimond Blvd
Ste 101
Anchorage, AK 99515
Phone (907) 748-0022

2221 E Northern Lights Blvd
Ste 106
Anchorage, AK 99508
Phone (907) 677-5605

718 K St
Ste D
Anchorage, AK 99501
Phone (907) 748-0022

432 S Alaska St
Palmer, AK 99645
Phone (907) 414-5803

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1780901793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 K ST STE D",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013318",
            "telephone_number": "907-748-0022",
            "fax_number": "907-277-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 K ST STE D",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013318",
            "telephone_number": "907-748-0022",
            "fax_number": "907-277-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 E Northern Lights Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084140",
            "country_code": "US",
            "telephone_number": "907-748-0022",
            "fax_number": "907-277-0022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 W Dimond Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995151907",
            "country_code": "US",
            "telephone_number": "907-748-0022",
            "fax_number": "907-277-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSIVE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "TARAH",
        "authorized_official_middle_name": "ADRIENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-748-0022",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.