Organization Active NPI

Progressive Physical Therapy and Rehabilitation

  • Physical Therapist
  • Purcellville, VA
National Provider Identifier
1942437165
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305202442 Issued in VA
Legal business name
PROGRESSIVE PHYSICAL THERAPY AND REHABILITATION
Practice address
16545 Goldencrest Cir
Purcellville, VA 20132-9654
Phone
(540) 338-2827
NPI assigned
Jun 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Eric IngoldNPI 1396896205
Title
Owner
Phone
(540) 338-2827

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 2305202442 VA Primary

Addresses

Primary practice location

16545 Goldencrest Cir
Purcellville, VA 20132-9654

Mailing address

16545 Goldencrest Cir
Purcellville, VA 20132-9654
Phone (540) 338-9489

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090619000307 VA Part B Supplier - Clinic/Group Practice 7214088947 Receives reassigned benefits from 1 practitioner
Practice locations: Purcellville, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1942437165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16545 GOLDENCREST CIR",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201329654",
            "telephone_number": "540-338-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16545 GOLDENCREST CIR",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201329654",
            "telephone_number": "540-338-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PHYSICAL THERAPY AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "INGOLD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-338-2827"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.