NPIMap

Organization Active NPI

Progressivehealth Rehabilitation Solutions, Inc

  • Physical Therapy Clinic/Center
  • Peachtree City, GA
National Provider Identifier
1891854022
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PROGRESSIVEHEALTH REHABILITATION SOLUTIONS, INC
Practice address
1777 Georgian Park
Peachtree City, GA 30269-6989
Phone
(770) 487-1931
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Mr. Keith R Bersch
Title
Ceo
Phone
(812) 491-3856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1777 Georgian Park
Peachtree City, GA 30269-6989

Mailing address

PO Box 6890
Evansville, IN 47719-0890
Phone (886) 279-5049

Other practice location 1

220 W College St Ste D
Griffin, GA 30224-4250
Phone (770) 233-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040622000622 GA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 2567447758 Practice locations: Griffin, GA; Peachtree City, GA

National Provider Directory

National Provider Directory

Locations

1401 Georgian Park
Ste 120
Peachtree City, GA 30269
Phone (770) 487-1931

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1891854022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6890",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477190890",
            "telephone_number": "886-279-5049",
            "fax_number": "812-491-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 GEORGIAN PARK",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696989",
            "telephone_number": "770-487-1931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 W College St Ste D",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "302244250",
            "country_code": "US",
            "telephone_number": "770-233-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSIVEHEALTH REHABILITATION SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "BERSCH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-491-3856",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.