PROGRESSIVE REHABILITATION ORTHOPEDIC THERAPY, INC (NPI# 1922010602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922010602 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE REHABILITATION ORTHOPEDIC THERAPY, INC |
| Other Organization Name | PROGRESSIVE REHABILITATION ORTHOPEDIC THERAPY |
| Practice Address |
1948 Mesquite Ave Suite 101 Lake Havasu City AZ 86403-5777 |
| Practice Telephone | 9288544776 |
| Practice Fax Number | 9288544857 |
| Mailing Telephone | 9288544776 |
| Mailing Fax Number | 9288544857 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2018-02-06 |
| Authorized Official Name | MR. JOHN C TWOMEY (DIRECTOR) |
| Authorized Official Telephone | 9288544776 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PROGRESSIVE REHABILITATION ORTHOPEDIC THERAPY | Former Legal Business Name - Organization |
| Street Address |
1948 MESQUITE AVE SUITE 101 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578530432 | Linda Louise Paquette | Counselor | 1948 Mesquite Ave, 103, Lake Havasu City, AZ 86403-5777 | 2006-02-28 |
| 1447797998 | Nicholas Virden | Physical Therapist | 1948 Mesquite Ave, 101, Lake Havasu City, AZ 86403-5777 | 2017-01-23 |
| 1053723221 | Julie Hofman | Physical Therapy Assistant | 1948 Mesquite Ave, Suite 101, Lake Havasu City, AZ 86403-5777 | 2014-05-22 |
| 1871837815 | Alisha M Fulker | Physical Therapist | 1948 Mesquite Ave, Suite 101, Lake Havasu City, AZ 86403-5777 | 2012-11-15 |
| 1063762102 | Ronni M Sikes | Physical Therapy Assistant | 1948 Mesquite Ave, Ste 101, Lake Havasu City, AZ 86403-5777 | 2012-09-17 |
| 1164779484 | Carolyn Earley | Physical Therapy Assistant | 1948 Mesquite Ave, Suite 101, Lake Havasu City, AZ 86403-5777 | 2012-08-06 |
| 1770855314 | Neuropathy Relief Centers Inc | Physical Medicine & Rehabilitation | 1948 Mesquite Ave, Suite 102, Lake Havasu City, AZ 86403-5777 | 2012-01-27 |
| 1093082836 | Kylee Nusbaum | Physical Therapy Assistant | 1948 Mesquite Ave, Suite 101, Lake Havasu City, AZ 86403-5777 | 2011-11-22 |
| 1790060663 | Wendy L Mcguire | Physical Therapy Assistant | 1948 Mesquite Ave, Suite 101, Lake Havasu City, AZ 86403-0000 | 2011-10-11 |
| 1194039586 | Matthew V Noake | Physical Therapy Assistant | 1948 Mesquite Ave, Suite 101, Lake Havasu City, AZ 86403-5777 | 2010-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932551264 | Feelin' Good Fitness LLC | Clinic/Center | 34 Scott Dr, 101, Lake Havasu City, AZ 86403-7708 | 2016-07-11 |
| 1801941992 | True Rehab of Arizona,llc | Clinic/Center | 1720 Mesquite Ave Ste 101, Lake Havasu City, AZ 86403-5602 | 2007-01-25 |
| 1720521040 | Agave Physical Therapy LLC | Clinic/Center | 191 Swanson Ave, #102, Lake Havasu City, AZ 86403-6699 | 2016-11-18 |
| 1104092840 | Body Mechanix, LLC | Clinic/Center | 1695 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403-5678 | 2008-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079523 | Trailhead Health & Rehab LLC | Clinic/Center | 1838 W Parkside Ln Ste 110, Phoenix, AZ 85027-1370 | 2020-09-24 |
| 1073129698 | Dynamic Performance and Recovery, LLC | Clinic/Center | 7800 E Pierce St, Scottsdale, AZ 85257-4606 | 2020-09-18 |
| 1073129821 | Epperson Physical Therapy Pllc | Clinic/Center | 5375 E Seven Palms Dr, Cave Creek, AZ 85331-2153 | 2020-09-17 |
| 1518572072 | A Wise Move Physical Therapy and Pilates, Pllc | Clinic/Center | 10130 N Oracle Rd Ste 120-130, Tucson, AZ 85704-7646 | 2020-09-11 |
| 1770110801 | Mobile Physical Therapy Pllc | Clinic/Center | 112 N Elden St, Flagstaff, AZ 86001-5295 | 2020-03-26 |
| 1518592351 | Foothills Sports Medicine & Physical Therapy - 91st Ave-olive | Clinic/Center | 9069 W Olive Ave Ste 105, Peoria, AZ 85345-9124 | 2020-03-11 |
| 1922644681 | Apexnetwork Wellton LLC | Clinic/Center | 28873 Commerce Way, Wellton, AZ 85356-7058 | 2019-11-18 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1760025621 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1700 E Elliot Rd Ste 16, Tempe, AZ 85284-1650 | 2019-10-23 |
| 1649811498 | Urgentmed House Call LLC | Clinic/Center | 2224 W Clarendon Ave, Phoenix, AZ 85015-5435 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on PROGRESSIVE REHABILITATION ORTHOPEDIC THERAPY, INC.
| 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.