Healthcare Provider Details

I. General information

NPI: 1144837022
Provider Name (Legal Business Name): PROGRESS THERAPY SERVICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2020
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7190 SEMINOLE BLVD
SEMINOLE FL
33772-5935
US

IV. Provider business mailing address

8000 SMOKETREE CIR
LARGO FL
33773-1665
US

V. Phone/Fax

Practice location:
  • Phone: 727-614-2647
  • Fax: 813-830-7491
Mailing address:
  • Phone: 727-614-2647
  • Fax: 813-830-7491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAFAEL EMILIO ALVAREZ
Title or Position: OWNER
Credential: BCBA
Phone: 727-614-2647