# PROGRESSIVE PHYSICAL THERAPY, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Progressive Physical Therapy North Myrtle Beach
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619350568
- **Authorized official:** BARRY E FITCH DPT (PRESIDENT)
- **Authorized official phone:** (803) 731-4055

## Contact information

- **Practice address:** 218 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2938
- **Practice address phone:** (843) 491-2041
- **Practice address fax:** (843) 272-1344
- **Mailing address:** 1818 HENDERSON ST, COLUMBIA, SC 29201-2619
- **Mailing address phone:** (803) 758-2602
- **Mailing address fax:** (803) 253-8896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 2251H1200X | Hand Physical Therapist | — | NULL | — |
| 2251H1200X | Hand Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 07/09/2015
- **Last updated:** 07/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP0231 | — | SC |