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PROGRESSIVE THERAPY ASSOCIATES NPI 1699075945


NPI Information

NPI: 1699075945
Provider Name: PROGRESSIVE THERAPY ASSOCIATES
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
825 28TH ST S STE B
FARGO, ND
ZIP 58103
Phone: (701) 356-7766
Get Directions

PROGRESSIVE THERAPY ASSOCIATES is a speech language pathologist in Fargo, ND. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. PROGRESSIVE THERAPY ASSOCIATES NPI is 1699075945. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

825 28TH ST S STE B
FARGO, ND
ZIP 58103-325
Phone: (701) 356-7766
Fax: (701) 356-7765

The provider's authorized official is Jodi Lynn Hedstrom .
The authorized official title is Speech-language Pathologist and has the following contact phone number (701) 356-7766.

The enumeration date for this NPI number is 11/2/2010 and was last updated on 1/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist840NORTH DAKOTANo
2235Z00000XSpeech-Language Pathologist8076MINNESOTANo
3235Z00000XSpeech-Language Pathologist8674MINNESOTANo
4235Z00000XSpeech-Language Pathologist957NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10DI79PROTHERMINNESOTABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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