Progressive Physical Therapy Services, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROGRESSIVE PHYSICAL THERAPY SERVICES, PC

Practice address

103 Terrace Blvd
New Hyde Park, NY 11040-4330

Phone

(347) 819-1531

Fax

(718) 504-6464

NPI assigned

Dec 11, 2020

Organization subpart

No

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

Authorized official

Name

Ericson Navarro, PTNPI 1407863350

Title

President

Phone

(347) 819-1531

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Ericson Navarro, P.T.

  • Physical Therapist
  • New Hyde Park, NY
  • NPI 1407863350
  Medicare reassignment Authorized official
• Dorothy Joy Pedrena Racimo

  • Physical Therapist
  • New Hyde Park, NY
  • NPI 1124156948
  NPD

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679184000000",
    "number": "1992391148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 TERRACE BLVD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404330",
            "telephone_number": "347-819-1531",
            "fax_number": "718-504-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 TERRACE BLVD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404330",
            "telephone_number": "347-819-1531",
            "fax_number": "718-504-6464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15007 Bayside Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113542432",
            "country_code": "US",
            "telephone_number": "516-737-5382",
            "fax_number": "718-750-8541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSIVE PHYSICAL THERAPY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-19",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "ERICSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-819-1531",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Louis Prisco Sr., M.D.
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• Professional Primary Care Physician PLLC
• Progressive Surgical Care, PLLC
• Prohealth Accountable Care Medical Group PLLC
• Prohealth Ambulatory Surgery Center, LLC
• Prohealth Dental PLLC
• Prohealth Dental PLLC

• Physical Therapist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2023; 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.