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NPI Code Detail

MEDICARE: PROGRESSUS THERAPY, LLC

MEDICARE: PROGRESSUS THERAPY, LLC
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
1235Z00000XSpeech-Language Pathologist
2106H00000XMarriage & Family Therapist
3225100000XPhysical Therapist
4225X00000XOccupational Therapist
5101YM0800XMental Health Counselor
6103K00000XBehavior Analyst
71041C0700XClinical Social Worker
8106E00000XAssistant Behavior Analyst
9106S00000XBehavior Technician

General Provider Information

NPI Number : 1972179257
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROGRESSUS THERAPY, LLC
Provider Business Mailing Address
First Line : PO BOX 631278
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-1278
Country : US
Telephone Number : 800-356-4049
Fax Number : 941-485-0519
Provider Business Practice Location Address
First Line : 4014 GUNN HWY STE 140
Second Line :
City : TAMPA
State : FL
Zip : 33618-8787
Country : US
Telephone Number : 800-356-4049
Fax Number : 941-485-0519
Authorized Official
Title or Position : CREDENTIALING MANAGER
Name : NIKKI ORTEGA
Credential :
Telephone Number : 917-397-1502
Provider Enumeration Date : 05/27/2021
Last Update Date : 02/16/2023

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Directions to “PROGRESSUS THERAPY, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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