Provider Demographics
NPI:1720381783
Name:PROGRESS PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:PROGRESS PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:PARUL
Authorized Official - Middle Name:
Authorized Official - Last Name:LUTHRA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:402-408-9555
Mailing Address - Street 1:14436 W CENTER RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-3217
Mailing Address - Country:US
Mailing Address - Phone:402-408-9555
Mailing Address - Fax:402-408-3055
Practice Address - Street 1:14436 W CENTER RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-3217
Practice Address - Country:US
Practice Address - Phone:402-408-9555
Practice Address - Fax:402-408-3055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-14
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty