# PROGRESSIVE PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265005581
- **Authorized official:** BRENDA METAL-CONFER (SR. CREDENTIALING SPECIALIST)
- **Authorized official phone:** (724) 448-2733

## Contact information

- **Practice address:** 10288 MILL RUN CIR STE 103, OWINGS MILLS, MD 21117-4280
- **Practice address phone:** (301) 284-7450
- **Mailing address:** PO BOX 392573, PITTSBURGH, PA 15251-9573
- **Mailing address phone:** (244) 482-7337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/23/2021
- **Last updated:** 01/10/2022
