PROGRESSIONS THERAPY @ COPPER MOUNTAIN INN INC NPI 1023362555

NPI Information

NPI: 1023362555
Provider Name: PROGRESSIONS THERAPY @ COPPER MOUNTAIN INN, INC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1100 E MONROE ST
GLOBE, AZ
ZIP 85501
Phone: (928) 425-5721
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PROGRESSIONS THERAPY @ COPPER MOUNTAIN INN, INC is a rehabilitation clinic center in Globe, AZ. PROGRESSIONS THERAPY @ COPPER MOUNTAIN INN, INC NPI is 1023362555. The provider is registered as an organization entity type.

The provider's business location address is:

1100 E MONROE ST
GLOBE, AZ
ZIP 85501-363
Phone: (928) 425-5721
Fax: (928) 425-3745

The provider's authorized official is Paula Mitchell .
The authorized official title is Administrator and has the following contact phone number (928) 425-5721.

The enumeration date for this NPI number is 11/6/2012 and was last updated on 1/23/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2000X	Clinic/Center	Physical Therapy	OTC3084	ARIZONA	No
2	261QH0700X	Clinic/Center	Hearing and Speech	OTC3084	ARIZONA	No
3	261QX0100X	Clinic/Center	Occupational Medicine	OTC3084	ARIZONA	No
4	261QR0400X	Clinic/Center	Rehabilitation	OTC3084	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	558471	MEDICAID	ARIZONA
2	035233	MEDICARE OSCAR/CERTIFICATION	ARIZONA
3	035233	MEDICARE UPIN	ARIZONA

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: 4/28/2024

NPI Synchronization or Removal

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