| Organization Name: | PROGRESSIVE PHYSICAL THERAPY SERVICE INC. |
| NPI Number: | 1043261233 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WAYNE GOFFIN (PRESIDENT) |
| Mailing Address: | 17751 Murdock Cir Port Charlotte |
| State: | FL US |
| Postal Code: | 339481034 |
| Phone Number: | 9417438700 |
| Fax Number: | 9417438850 |
| NPI Enumeration Date: | 05/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 7920 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |