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Organization
PROGRESSIVE REHABILITATION, INC.
Active
Organization
PROGRESSIVE REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI ALBERTSON (OWNER)
(512) 250-9140
Entity
Organization
Contact information
Practice address
5004 LAKEVIEW DR, AUSTIN, TX 78732-1719
(512) 250-9140
(512) 250-2207
Mailing address
13729 RESEARCH BLVD, STE 610-115, AUSTIN, TX 78750-1883
(512) 250-9140
(512) 250-2207
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00755E
BLUE CROSS
TX
01
—
00756E
BLUE CROSS
TX
05
—
081104401
—
TX
05
—
081106901
—
TX
01
—
DD6871
RAILROAD MEDICARE
TX
Enumeration date
04/26/2007
Last updated
12/23/2010
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