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NPI Code Detail

MEDICARE: PROGRESSIVE REHAB, INC.

MEDICARE: PROGRESSIVE REHAB, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant
2225100000XPhysical Therapist
3225X00000XOccupational Therapist
4251E00000XHome Health Agency
5252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1376681221
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROGRESSIVE REHAB, INC.
Provider Business Mailing Address
First Line : 1605 SCHERM RD STE 1
Second Line :
City : OWENSBORO
State : KY
Zip : 42301-5300
Country : US
Telephone Number : 270-685-9499
Fax Number : 270-852-5277
Provider Business Practice Location Address
First Line : 1605 SCHERM RD STE 1
Second Line :
City : OWENSBORO
State : KY
Zip : 42301-5300
Country : US
Telephone Number : 270-685-9499
Fax Number : 270-852-5277
Authorized Official
Title or Position : PREISDENT
Name : MRS. TRISHA JENELL PHELPS
Credential : OT
Telephone Number : 270-688-8559
Provider Enumeration Date : 02/02/2007
Last Update Date : 03/24/2021

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Directions to “PROGRESSIVE REHAB, INC. ” Practice Location

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