Provider Demographics
NPI:1891854022
Name:PROGRESSIVEHEALTH REHABILITATION SOLUTIONS, INC
Entity Type:Organization
Organization Name:PROGRESSIVEHEALTH REHABILITATION SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:R
Authorized Official - Last Name:BERSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-491-3856
Mailing Address - Street 1:PO BOX 6890
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47719-0890
Mailing Address - Country:US
Mailing Address - Phone:886-279-5049
Mailing Address - Fax:812-491-1269
Practice Address - Street 1:1777 GEORGIAN PARK
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-6989
Practice Address - Country:US
Practice Address - Phone:770-487-1931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA116638Medicare PIN
GA116638Medicare Oscar/Certification