NPIMap

Organization Active NPI

Progressive Rehabilitation Associates L.L.C.

  • Physical Therapist
  • Iowa City, IA
National Provider Identifier
1851462865
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROGRESSIVE REHABILITATION ASSOCIATES L.L.C.
Practice address
1130 S Scott Blvd Ste 1
Iowa City, IA 52240-2909
Phone
(319) 354-2429
Fax
(319) 354-6100
NPI assigned
Nov 13, 2006
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Scott Mathew ThomaNPI 1407883572
Title
Onwer - Director of Operations
Phone
(319) 338-5800

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: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1130 S Scott Blvd Ste 1
Iowa City, IA 52240-2909

Mailing address

1130 S Scott Blvd Ste 1
Iowa City, IA 52240-2909
Phone (319) 354-2429

Other practice location 1

100 Alexander Dr Ste 4
Tipton, IA 52772-2304
Phone (563) 886-3421

Other practice location 2

2769 Heartland Dr Ste 301
Coralville, IA 52241-2732
Phone (319) 545-4121

Other practice location 3

4000 River Ridge Dr NE Ste 3
Cedar Rapids, IA 52402-7586
Phone (319) 200-3063

Other practice location 4

2905 Stoner Ct Ste 2
North Liberty, IA 52317-8525
Phone (319) 626-2775

Other practice location 5

1120 Tall Grass Ave
Tiffin, IA 52340-4753
Phone (319) 545-2407

Other practice location 6

518 Elm Street
Williamsburg, IA 52361-5236
Phone (319) 668-9399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050519000182 IA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 2961443072 Practice locations: North Liberty, IA; Williamsburg, IA; Tipton, IA; Tiffin, IA; Iowa City, IA; Coralville, IA
O20241213000302 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961443072 Receives reassigned benefits from 19 practitioners
Practice locations: Coralville, IA; Williamsburg, IA; Tipton, IA; Tiffin, IA; North Liberty, IA; Iowa City, IA; Cedar Rapids, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851462865. Details of each certification follow.

  • CCN 166546 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 166546

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PROGRESSIVE REHABILITATION ASSOCIATES LLC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Feb 8, 1995
Last certification
Jul 10, 2024
Ownership / control type
Proprietary
Facility address
1130 South Scott Blvd Suite 1
Iowa City, IA 52240

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4000 River Ridge Dr NE
Cedar Rapids, IA 52402

4000 River Ridge Dr NE
Ste 3
Cedar Rapids, IA 52402
Phone (319) 200-3063

1101 5th St
Ste 100
Coralville, IA 52241
Phone (319) 341-3442

2769 Heartland Dr
Ste 301
Coralville, IA 52241
Phone (319) 545-4121

2401 Towncrest Dr
Iowa City, IA 52240
Phone (319) 354-2429

540 E Jefferson St
Ste 302
Iowa City, IA 52245
Phone (319) 339-3611

2905 Stoner Ct
Ste 2
North Liberty, IA 52317
Phone (319) 626-2775

1120 Tall Grass Ave
Tiffin, IA 52340
Phone (319) 545-2407

100 Alexander Dr
Ste 4
Tipton, IA 52772
Phone (563) 886-3421

Practitioners & affiliated clinicians

Practitioners 388

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 388

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1851462865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 S SCOTT BLVD STE 1",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522402909",
            "telephone_number": "319-354-2429",
            "fax_number": "319-354-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 S SCOTT BLVD STE 1",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522402909",
            "telephone_number": "319-354-2429",
            "fax_number": "319-354-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Alexander Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Tipton",
            "state": "IA",
            "postal_code": "527722304",
            "country_code": "US",
            "telephone_number": "563-886-3421",
            "fax_number": "563-886-2083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2769 Heartland Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522412732",
            "country_code": "US",
            "telephone_number": "319-545-4121",
            "fax_number": "319-545-4128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 River Ridge Dr NE Ste 3",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524027586",
            "country_code": "US",
            "telephone_number": "319-200-3063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2905 Stoner Ct Ste 2",
            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523178525",
            "country_code": "US",
            "telephone_number": "319-626-2775",
            "fax_number": "319-665-2480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 Tall Grass Ave",
            "address_purpose": "LOCATION",
            "city": "Tiffin",
            "state": "IA",
            "postal_code": "523404753",
            "country_code": "US",
            "telephone_number": "319-545-2407",
            "fax_number": "319-545-2315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "518 Elm Street",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "IA",
            "postal_code": "523615236",
            "country_code": "US",
            "telephone_number": "319-668-9399",
            "fax_number": "319-668-1497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSIVE REHABILITATION ASSOCIATES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "THOMA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "ONWER - DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "319-338-5800"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.