PROGRESSIVE SPECIALTY THERAPY SERVICES LLC (NPI# 1962852863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962852863 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE SPECIALTY THERAPY SERVICES LLC |
| Other Organization Name | PROGRESSIVE SPECIALTY THERAPY SERVICES |
| Practice Address |
700 17th St Modesto CA 95354-1209 |
| Practice Telephone | 2095051035 |
| Practice Fax Number | 2098460345 |
| Mailing Telephone | 2095051035 |
| Mailing Fax Number | 2098460345 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | TAMMY JEAN THOMPSON (VP FINANCE) |
| Authorized Official Telephone | 2092487851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Progressive Specialty Therapy Services | Doing Business As Name - Organization |
| Street Address |
700 17TH ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629031042 | Lisa Eppers | Nurse Practitioner | 700 17th St, Modesto, CA 95354-1209 | 2006-04-07 |
| 1588015663 | American Specialty Ambulance LLC | Ambulance | 700 17th St, Modesto, CA 95354-1209 | 2016-06-29 |
| 1740648096 | American Pharmacy LLC | Pharmacy | 700 17th St, Modesto, CA 95354-1209 | 2016-02-02 |
| 1689707572 | Center for Human Services | Community/Behavioral Health | 700 17th St, Modesto, CA 95354-1209 | 2007-03-13 |
| 1043388358 | Richard Russell Cox | Physical Therapist | 700 17th St, Ste 202, Modesto, CA 95354-1249 | 2006-12-04 |
| 1487602819 | Manjit Singh Dhillon | Internal Medicine | 700 17th St, Modesto, CA 95354-1247 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730346420 | Soft Tissue & Myofascial Treatment Inc. | Clinic/Center | 1317 Oakdale Rd Ste 610, Modesto, CA 95355-3365 | 2008-05-20 |
| 1225029630 | Andersen Physical Therapy, Inc | Clinic/Center | 1917 Coffee Rd, Modesto, CA 95355-2704 | 2005-11-03 |
| 1326032327 | Valley Subacute & Rehabilitation Center, LLC | Clinic/Center | 515 E Orangeburg Ave, Modesto, CA 95350-5510 | 2005-09-06 |
| 1578567020 | Vibrantcare Outpatient Rehabilitation of California, Inc. | Clinic/Center | 937 Coffee Rd Ste 900, Modesto, CA 95355-4240 | 2005-06-10 |
| 1922647973 | Valley Physical Therapy Solutions, Inc. | Clinic/Center | 2117 Starlight Dr, Modesto, CA 95357-0890 | 2019-12-21 |
| 1275071169 | Elite Physical Therapy | Clinic/Center | 201 E Orangeburg Ave, Ste E, Modesto, CA 95350-5355 | 2017-02-10 |
| 1619398062 | Orthopedic Physical Therapy Institute, Inc. | Clinic/Center | 4028 Dale Rd, Suite 101, Modesto, CA 95356-9561 | 2014-01-01 |
| 1437454436 | Kristina Gibson | Clinic/Center | 3500 Coffee Rd Ste 3, Modesto, CA 95355-1315 | 2011-01-21 |
| 1104127554 | Biosport Physical Therapy Inc | Clinic/Center | 1933 Coffee Rd, Modesto, CA 95355-2704 | 2010-11-16 |
| 1265569396 | Parrott Associates Phystherap | Clinic/Center | 201 E Orangeburg Ave, Suite E, Modesto, CA 95350-5355 | 2007-02-27 |
| Find all providers in MODESTO | ||||
Please comment or provide details below to improve the information on PROGRESSIVE SPECIALTY THERAPY SERVICES LLC.
| 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.