Organization Active NPI

Progressive Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Spokane Valley, WA
National Provider Identifier
1821216466
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT00006435 Issued in WA
Legal business name
PROGRESSIVE PHYSICAL THERAPY, INC
Practice address
321 N Pines Rd Ste C
Spokane Valley, WA 99206-5176
Phone
(509) 228-9404
Fax
(509) 228-9403
NPI assigned
Apr 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kimberlee Renee Hammond, PTNPI 1972569044
Title
Physical Therapis
Phone
(208) 640-1855

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 Therapy Clinic/Center 261QP2000X PT00006435 WA Primary

Addresses

Primary practice location

321 N Pines Rd Ste C
Spokane Valley, WA 99206-5176

Mailing address

321 N Pines Rd Ste C
Spokane Valley, WA 99206-5176
Phone (509) 228-9404

Other identifiers 1

IdentifierTypeStateIssuer
8318479MedicaidWA

National Provider Directory

National Provider Directory

Locations

321 N Pines Rd
Ste C
Spokane Valley, WA 99206
Phone (509) 228-6404

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821216466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N PINES RD STE C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065176",
            "telephone_number": "509-228-9404",
            "fax_number": "509-228-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N PINES RD STE C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065176",
            "telephone_number": "509-228-9404",
            "fax_number": "509-228-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIS",
        "authorized_official_telephone_number": "208-640-1855",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00006435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8318479",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • 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.