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PROGRESSIVE STEP CORP NPI 1134116536


NPI Information

NPI: 1134116536
Provider Name: PROGRESSIVE STEP CORP

Doing Business As: LONGVIEW THERAPY CENTER

Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
110 RUTH LYNN DR
LONGVIEW, TX
ZIP 75605
Phone: (903) 757-7731
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PROGRESSIVE STEP CORP is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Longview, TX. PROGRESSIVE STEP CORP NPI is 1134116536. The provider is registered as an organization entity type.
The provider Is Doing Business As Longview Therapy Center.

The provider's business location address is:

110 RUTH LYNN DR
LONGVIEW, TX
ZIP 75605-634
Phone: (903) 757-7731
Fax: (903) 757-3756

The provider's authorized official is Donna Jo Maassen .
The authorized official title is Senior Director Of Compliance and has the following contact phone number (414) 908-8119.

The enumeration date for this NPI number is 9/30/2005 and was last updated on 2/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1021675601MEDICAIDTEXAS
2456659MEDICARE OSCAR/CERTIFICATIONTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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