Progressive Specialty Therapy Services LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROGRESSIVE SPECIALTY THERAPY SERVICES LLC

Practice address

700 17TH St
Modesto, CA 95354-1209

Phone

(209) 505-1035

Fax

(209) 846-0345

NPI assigned

Jun 21, 2016

Organization subpart

No

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

Authorized official

Name

Tammy Jean Thompson

Title

VP Finance

Phone

(209) 248-7851

Specialties & licenses 1

Addresses

Other names 1

• Progressive Specialty Therapy Services Doing business as

Practitioners 1

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

• Gia Samantha Smith

  • Nurse Practitioner
  • Riverbank, CA
  • NPI 1649888173
  NPD (past)

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1962852863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 17TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541209",
            "telephone_number": "209-505-1035",
            "fax_number": "209-846-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 17TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541209",
            "telephone_number": "209-505-1035",
            "fax_number": "209-846-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE SPECIALTY THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "209-248-7851"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Specialty Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Progressive Specialty Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Progressive Pharmacy, LLC
• Progressive Urgent Care Inc
• Van Sieng Prom, D.C
• Lindsey Provencher, PCCI
• Joseph Johnny Provenzano Jr., DO
• Proveri Ventures LLC

• All providers in Modesto, CA
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.