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PROGRESSIVE NEURO THERAPY PLLC NPI 1063669109


NPI Information

NPI: 1063669109
Provider Name: PROGRESSIVE NEURO THERAPY PLLC

Doing Business As: PROGRESSIVE NEURO THERAPY

Classification: Occupational Therapist - 225XN1300X
Entity Type: Organization

Specialization: Neurorehabilitation

Address:
5555 N LAMAR BLVD
STE L 103
AUSTIN, TX
ZIP 78751
Phone: (512) 200-2332
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PROGRESSIVE NEURO THERAPY PLLC is a neurorehabilitation occupational therapist in Austin, TX. PROGRESSIVE NEURO THERAPY PLLC NPI is 1063669109. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Progressive Neuro Therapy.

The provider's business location address is:

5555 N LAMAR BLVD
STE L 103
AUSTIN, TX
ZIP 78751-073
Phone: (512) 200-2332
Fax: (512) 852-4557

The provider's authorized official is Christa Rae Simmons .
The authorized official title is Occupational Therapist/owner and has the following contact phone number (512) 200-2332.

The enumeration date for this NPI number is 8/20/2008 and was last updated on 2/19/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251N0400XPhysical TherapistNeurologyNo
2225XN1300XOccupational TherapistNeurorehabilitation106204TEXASYes
3235Z00000XSpeech-Language PathologistNo
4251S00000XCommunity/Behavioral Health106204TEXASNo

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

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