Healthcare Provider Details

I. General information

NPI: 1780452995
Provider Name (Legal Business Name): PROGRESSIONS PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2023
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 HOBBS ST # 3
CONWAY NH
03818-6251
US

IV. Provider business mailing address

30 ALPINE PLACE DR UNIT 110
NORTH CONWAY NH
03860-5277
US

V. Phone/Fax

Practice location:
  • Phone: 603-242-1035
  • Fax:
Mailing address:
  • Phone: 641-351-8741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. EMMA BARNES RUNQUIST
Title or Position: OWNER
Credential: PT, DPT
Phone: 641-351-8741