| Organization Name: | PROGRESSIVE PHYSICAL THERAPY INC |
| NPI Number: | 1013088962 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES LAWRENCE PIAZZA (PHYSICAL THERAPIST, PRESIDENT) |
| Mailing Address: | 290 Clyde Morris Blvd Suite B-2 Ormond Beach |
| State: | FL US |
| Postal Code: | 321748130 |
| Phone Number: | 3868980443 |
| Fax Number: | 3868980459 |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 01/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | HCC5366 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |