PROGRESSIVE PEDIATRIC THERAPY NPI 1255658431

NPI Information

  • NPI: 1255658431
  • Provider Name: PROGRESSIVE PEDIATRIC THERAPY
  • Classification: Physical Therapist - 2251P0200X
  • Specialization: Pediatrics
  • Entity Type: Organization
  • Address: 229 PLYMOUTH AVE
    WINSTON SALEM, NC
    ZIP 27104
  • Phone: (336) 760-4401

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NPI Details

PROGRESSIVE PEDIATRIC THERAPY is a pediatrics physical therapist in Winston Salem, NC. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. PROGRESSIVE PEDIATRIC THERAPY NPI is 1255658431. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

229 PLYMOUTH AVE
WINSTON SALEM, NC
ZIP 27104-025
Phone: (336) 760-4401

The provider's authorized official is Emily Parrish Smith .
The authorized official title is Physical Therapist/director and has the following contact phone number (336) 760-4401.

The enumeration date for this NPI number is 4/27/2010 and was last updated on 4/27/2010.

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
12251P0200XPhysical TherapistPediatrics8311NORTH CAROLINAYes

What is NPI?

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This page was last updated on: 3/30/2025

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