Progressive Medical & Rehabilitation Group

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003832 Issued in KY

Legal business name

PROGRESSIVE MEDICAL & REHABILITATION GROUP

Practice address

825 S 6TH St
Louisville, KY 40203-2123

Phone

(502) 568-1000

Fax

(502) 568-1015

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Gorski, OT

Title

Owner

Phone

(502) 568-1000

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Blue Grass Diagnostics

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1073767737
  NPPES parent name

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821106931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S 6TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032123",
            "telephone_number": "502-568-1000",
            "fax_number": "502-568-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S 6TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032123",
            "telephone_number": "502-568-1000",
            "fax_number": "502-568-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MEDICAL & REHABILITATION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORSKI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-568-1000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "003832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.