Progress Port, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

PROGRESS PORT, INC.

Practice address

1120 N Division St
Carterville, IL 62918-3269

Phone

(618) 985-8351

Fax

(618) 985-8817

NPI assigned

Jun 28, 2016

Organization subpart

No

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

Authorized official

Name

Lori Jones

Title

General Manager

Phone

(618) 985-8351

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1962853226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N DIVISION ST",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629183269",
            "telephone_number": "618-985-8351",
            "fax_number": "618-985-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N DIVISION ST",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629183269",
            "telephone_number": "618-985-8351",
            "fax_number": "618-985-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS PORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "618-985-8351"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenell A Pluskota, BS RD
• Muhammad Jawad Popalzai
• Babu Rajendra Prasad, M.D.
• Marty Dewayne Price, PHD, BCBA
• Progress Management, Inc.
• R&M Phillips Investments, LLC - Herrin MC Operations Series
• Donald Ramsey, BA
• Lisa Rath, BS
• Lauren Reedy, CD(DONA)
• Amanda Reynolds, APN

• Developmentally Disabled Services Day Training Agency in Carterville, IL
• Providers in Carterville, IL by specialty
• Developmentally Disabled Services Day Training Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.