PROGRESSIVE PHYSICAL THERAPY INC (NPI# 1013088962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013088962 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE PHYSICAL THERAPY INC |
| Practice Address |
290 Clyde Morris Blvd Suite B-2 Ormond Beach FL 32174-8130 |
| Practice Telephone | 3868980443 |
| Practice Fax Number | 3868980459 |
| Mailing Telephone | 3868980443 |
| Mailing Fax Number | 3868980459 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2011-01-19 |
| Authorized Official Name | DR. CHARLES LAWRENCE PIAZZA JR. (PHYSICAL THERAPIST, PRESIDENT) |
| Authorized Official Telephone | 3868980443 |
| Authorized Official Credential | DPT, ATC, MTC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
HCC5366 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PTAN | 6457550001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184605586 | Progressive Physical Therapy Inc | Clinic/Center | 19510 Ventura Blvd, Suite 106, Tarzana, CA 91356-2969 | 2005-11-11 |
| Street Address |
290 CLYDE MORRIS BLVD SUITE B-2 |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-8130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708580 | Davis Diagnostics LLC | Clinic/Center | 290 Clyde Morris Blvd, Ste C1, Ormond Beach, FL 32174-8204 | 2005-05-27 |
| 1740673425 | Pablo Garcia Jr Md | Clinic/Center | 290 Clyde Morris Blvd, Suite A-1, Ormond Beach, FL 32174-8130 | 2015-03-05 |
| 1962812099 | Kerry A Crandall,arnp | Skilled Nursing Facility | 290 Clyde Morris Blvd, Ormond Beach, FL 32174-8130 | 2014-04-29 |
| 1275950081 | John Snowden | Physical Therapy Assistant | 290 Clyde Morris Blvd, Suite B-2, Ormond Beach, FL 32174-8130 | 2014-03-19 |
| 1124445861 | Camila Perez-albert | Physical Therapist | 290 Clyde Morris Blvd, Suite B2, Ormond Beach, FL 32174-8130 | 2014-03-19 |
| 1407271380 | John Korfant | Physical Therapy Assistant | 290 Clyde Morris Blvd, Ormond Beach, FL 32174-8130 | 2014-02-28 |
| 1134497555 | Thomas Joseph Fasone | Specialist | 290 Clyde Morris Blvd, Suite B-2, Ormond Beach, FL 32174-8130 | 2011-12-13 |
| 1386912707 | Massage Therapy Services | Specialist | 290 Clyde Morris Blvd, Ormond Beach, FL 32174-8130 | 2011-12-13 |
| 1942435920 | Sandford H Kinne IIi D O P A | Family Medicine | 290 Clyde Morris Blvd, Suite A-1, Ormond Beach, FL 32174-8130 | 2009-05-20 |
| 1821236712 | A1 Imaging Centers LLC | Clinic/Center | 290 Clyde Morris Blvd, Suite C-1, Ormond Beach, FL 32174-8130 | 2009-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780865360 | Advanced Manual Physical Therapy | Clinic/Center | 33 Ormond Green Blvd, Ormond Beach, FL 32174-8768 | 2007-11-23 |
| 1447810379 | Porter Mobile Physical Therapy, Fitness and Golf Rehab | Clinic/Center | 3612 Christa Ct, Ormond Beach, FL 32174-2874 | 2019-06-13 |
| 1679882799 | Ability Rehabilitation | Clinic/Center | 305 Clyde Morris Blvd, Suite 220, Ormond Beach, FL 32174-8181 | 2010-10-07 |
| 1114102647 | Tpd and Ddd LLC | Clinic/Center | 53 N Old Kings Rd, Suite A, Ormond Beach, FL 32174-9519 | 2008-01-03 |
| 1053505529 | Omega 40 Sports Medicine | Clinic/Center | 1 S Old Kings Rd, Ormond Beach, FL 32174-6177 | 2007-08-28 |
| 1790722668 | Performance Physical Therapy & Rehab of Ormond Beach, LLC | Clinic/Center | 53 N Kings Rd, Ormond Beach, FL 32174-9519 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942742 | Restore Pelvic Health & Rehab LLC | Clinic/Center | 301 E Yamato Rd Ste 1240, Boca Raton, FL 33431-4931 | 2020-11-03 |
| 1558962019 | Ldg Medical Center LLC | Clinic/Center | 4485 Stirling Rd, Davie, FL 33314-7517 | 2020-11-02 |
| 1255930855 | Tideline Sports Performance & Rehabilitation LLC | Clinic/Center | 5261 Paylor Ln, Lakewood Ranch, FL 34240-2203 | 2020-10-23 |
| 1578162780 | Fourth Trimester Wellness LLC | Clinic/Center | 711 Chancellar Dr, Lutz, FL 33548-4512 | 2020-10-19 |
| 1306445754 | Concierge Rehab Inc | Clinic/Center | 1045 E Heritage Club Cir, Delray Beach, FL 33483-3483 | 2020-10-17 |
| 1689272627 | Ucdm Services Inc | Clinic/Center | 12030 Sw 129th Ct Ste 103, Miami, FL 33186-4584 | 2020-10-12 |
| 1902404163 | Frontline Physical Therapy | Clinic/Center | 8655 Bayou Way N, Pinellas Park, FL 33782-4549 | 2020-10-11 |
| 1891393138 | Venice Physical Therapy and Sports Medicine | Clinic/Center | 1776 S Tamiami Trl, Venice, FL 34293-1602 | 2020-10-09 |
| 1750988812 | Angeles Medical Center,inc. | Clinic/Center | 8725 Nw 18th Ter Ste 403, Doral, FL 33172-2610 | 2020-10-02 |
| 1740887967 | Neuro Thrive LLC | Clinic/Center | 1963 Ne Felicita Pl, Jensen Beach, FL 34957-5756 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.