PROGRESS PHYSICAL THERAPY (NPI# 1174630107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174630107 |
| Entity Type | Organization |
| Organization Name | PROGRESS PHYSICAL THERAPY |
| Practice Address |
3633 Harden Rd Ste 101 Raleigh NC 27607-3369 |
| Practice Telephone | 9197894459 |
| Practice Fax Number | 9197898342 |
| Mailing Telephone | 9197894459 |
| Mailing Fax Number | 9197898342 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LORI VON ALTEN (PRESIDENT) |
| Authorized Official Telephone | 919 789 4459 |
| Authorized Official Credential | PT, ATC-L, CSCI, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 013F3 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PROGRESS PHYSICAL THERAPY CARE PLLC | 714 Foch Blvd., Williston Park, New York 11596 |
| New York State Corporations | PROGRESS PHYSICAL THERAPY, P.C. | 225 Howells Road, Bayshore, Ny 11706 |
| Street Address |
3633 HARDEN RD STE 101 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-3369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275641201 | Lori M Von Alten | Physical Therapist | 3633 Harden Rd Ste 101, Raleigh, NC 27607-3369 | 2006-08-29 |
| 1144337957 | Gary Michael Cutick | Physical Therapist | 3633 Harden Rd Ste 101, Raleigh, NC 27607-3369 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275705 | Beyond Physical Therapy | Physical Therapist | 219 S East St, Raleigh, NC 27601-2369 | 2020-08-11 |
| 1205392750 | Campbell Brown | Physical Therapist | 3320 Wake Forest Rd Ste 440, Raleigh, NC 27609-7300 | 2019-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1760923775 | Thomas Moore II | Physical Therapist | 5100 Paschall Dr, Durham, NC 27705-8534 | 2017-03-10 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1154730992 | Niles Fleet | Physical Therapist | Wingate Rd., Reynolds Gymnasium Room 106, Winston Salem, NC 27106 | 2014-08-06 |
| 1629499181 | Karon Williams | Physical Therapist | 5801 Rupert Ln, Charlotte, NC 28215-2347 | 2013-12-30 |
| 1588940381 | James Edward Fernandes | Physical Therapist | Finch Yeager Building, Durham, NC 27710-0001 | 2011-10-25 |
| 1740466721 | Kyndall L Boyle | Physical Therapist | 719-a Greenway Rd #29, Suites 207 & 209, Boone, NC 28607 | 2008-01-21 |
| 1215135975 | Nicholas Daniel Potter | Physical Therapist | 118 Cameron Indoor Stadium, Box 90555, Durham, NC 27708-0001 | 2007-07-04 |
| 1356419360 | Carrie Ann Rubertino Shearer | Physical Therapist | 320 Emergency Room Dr, James A. Taylor Building Cb#7470, Chapel Hill, NC 27599-7470 | 2006-11-30 |
| 1942389861 | Todd Allen Watson | Physical Therapist | 1390 Sand Hill Rd, Suite 1, Candler, NC 28715-8938 | 2006-11-02 |
| Find all providers with the same taxonomy | ||||
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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.