Healthcare Provider Details

I. General information

NPI: 1780507384
Provider Name (Legal Business Name): PROGRESSIVE PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7919 WAKELEY PLZ
OMAHA NE
68114-3677
US

IV. Provider business mailing address

15915 SPAULDING ST
OMAHA NE
68116-2823
US

V. Phone/Fax

Practice location:
  • Phone: 402-616-4510
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. JAY D HERMAN
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT
Phone: 402-616-4510