PROGRESSIVE PEDIATRIC THERAPY (NPI# 1255658431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255658431 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE PEDIATRIC THERAPY |
| Practice Address |
229 Plymouth Ave Winston Salem NC 27104-3025 |
| Practice Telephone | 3367604401 |
| Mailing Telephone | 3367604401 |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |
| Authorized Official Name | EMILY PARRISH SMITH (PHYSICAL THERAPIST/DIRECTOR) |
| Authorized Official Telephone | 3367604401 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
8311 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336622257 | Progressive Pediatric Therapy | Physical Therapist | 150 S. Washington St., #203, Falls Church, VA 22124 | 2018-09-07 |
| Street Address |
229 PLYMOUTH AVE |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
| 1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
| 1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in zip 27104 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285967802 | Katie Ann Rivers | Physical Therapist | 617 Gales Ave, Winston Salem, NC 27103-3715 | 2009-09-14 |
| 1487787685 | Emmie Bostian Curry | Physical Therapist | 232 Harper St, Winston Salem, NC 27104-3814 | 2007-03-14 |
| 1477009165 | Lena Gough | Physical Therapist | 3325 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2016-09-01 |
| 1881016624 | Stacy Mcgrady | Physical Therapist | 1315 S Hawthorne Rd, Winston Salem, NC 27103-4121 | 2014-01-14 |
| 1770783532 | Jill Lang | Physical Therapist | 3325 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2007-07-20 |
| 1306043708 | Elizabeth A. Little | Physical Therapist | 3325 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2007-06-28 |
| 1184835456 | Emily Smith | Physical Therapist | 3325 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2007-05-25 |
| 1164548418 | Rachel Faile | Physical Therapist | 2315 Coliseum Dr, Winston Salem, NC 27106-5801 | 2007-03-21 |
| 1891837647 | The Centers for Exceptional Children | Physical Therapist | 2315 Coliseum Dr, Winston Salem, NC 27106-5801 | 2007-02-12 |
| 1821144841 | Michele Elizabeth Brewer | Physical Therapist | 3325 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2007-01-25 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27104 |
Please comment or provide details below to improve the information on PROGRESSIVE PEDIATRIC THERAPY.
| 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.