Provider Demographics
NPI:1750555769
Name:PROGESSIVE PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:PROGESSIVE PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:HELMINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MS, OCS
Authorized Official - Phone:414-427-5659
Mailing Address - Street 1:6040 ROUTE 53
Mailing Address - Street 2:SUITE A
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-3392
Mailing Address - Country:US
Mailing Address - Phone:630-434-0271
Mailing Address - Fax:630-515-1536
Practice Address - Street 1:S63W13644 JANESVILLE RD
Practice Address - Street 2:
Practice Address - City:MUSKEGO
Practice Address - State:WI
Practice Address - Zip Code:53150-2713
Practice Address - Country:US
Practice Address - Phone:414-427-5659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty