Progenix LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROGENIX LLC

Practice address

10521 Rosehaven St
Suite 180
Fairfax, VA 22030-2876

Phone

(703) 383-0435

Fax

(703) 383-0544

NPI assigned

Jan 11, 2011

Last updated

Oct 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Edward Barrett

Title

Marketing

Phone

(703) 383-0435

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1952606691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10521 ROSEHAVEN ST",
            "address_2": "SUITE 180",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302876",
            "telephone_number": "703-383-0435",
            "fax_number": "703-383-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10521 ROSEHAVEN ST",
            "address_2": "SUITE 180",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302876",
            "telephone_number": "703-383-0435",
            "fax_number": "703-383-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGENIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MARKETING",
        "authorized_official_telephone_number": "703-383-0435",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF VIRGINIA, BOARD OF PHARMACY, MEDICAL EQUIPMENT SUPPLIER PERMIT",
            "identifier": "0206009630",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE JOINT COMMISSION ACCREDITATION",
            "identifier": "468008",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carin Michelle Procopio, M.S., CCC-SLP
• Sally Proctor, RPH
• Professional Sportscare & Rehab, LLC (Pivot Physical Therapy)
• Proflex Physical Thearpy of Maryland, LLC
• Austin Progar, PHARMD
• Progressive Dental Care
• Progressive Medical Associates, LLC.
• Progressive Physical Therapy, LLC
• Project Health Corp
• Project Health Physical Therapy and Wellness LLC

• Durable Medical Equipment & Medical Supplies in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.