PROGRESSIVE HEALTH OF INDIANA, LLC (NPI# 1659596328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659596328 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE HEALTH OF INDIANA, LLC |
| Practice Address |
4521 Lincoln Ave Evansville IN 47714-0654 |
| Mailing Address |
150 N Rosenberger Ave Evansville IN 47712-6503 |
| Practice Telephone | 8124773422 |
| Practice Fax Number | 8124752020 |
| Mailing Telephone | 8124913856 |
| Mailing Fax Number | 8124911269 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2017-09-25 |
| Authorized Official Name | MR. KEITH R BERSCH (CEO) |
| Authorized Official Telephone | 8124913856 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200873150B | 05 |
| Street Address |
4521 LINCOLN AVE |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47714-0654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285082602 | Christy Bromm | Physical Therapy Assistant | 4521 Lincoln Ave, Evansville, IN 47714-0654 | 2016-05-26 |
| 1184911018 | Michelle D Elbert | Physical Therapist | 4521 Lincoln Ave, Evansville, IN 47714-0654 | 2011-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
| 1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
| 1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
| 1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
| 1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
| 1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
| 1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
| 1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
| 1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
| 1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
| Find all providers in zip 47714 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720448434 | Spot Services, PC | Clinic/Center | 5401 Vogel Rd Ste 104, Evansville, IN 47715-7832 | 2016-02-24 |
| 1245283100 | Rehabcare Group East, Inc. | Clinic/Center | 6700 Darmstadt Rd, Unit B, Evansville, IN 47710-4614 | 2006-05-19 |
| 1457863607 | Trurehab Outpatient LLC | Clinic/Center | 12251 Highway 41 N Ste A, Evansville, IN 47725-7014 | 2017-10-27 |
| 1972775492 | The Rehabilitation Center, Inc. | Clinic/Center | 3701 Bellemeade Ave, Evansville, IN 47714-0137 | 2008-03-25 |
| 1285797142 | Easter Seals Rehabilitation Center, Inc. | Clinic/Center | 3701 Bellemeade Ave, Evansville, IN 47714-0137 | 2006-12-19 |
| 1619052446 | Deaconess Hospital, Inc | Clinic/Center | 600 Mary St, Evansville, IN 47747-0001 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311328 | Rci (wrs), LLC. | Clinic/Center | 12788 State Road 23, Granger, IN 46530-7893 | 2020-09-21 |
| 1598371916 | Rci (wrs), LLC. | Clinic/Center | 860 Stillwater Pkwy, Crown Point, IN 46307-5360 | 2020-09-21 |
| 1619583044 | Rci (wrs), LLC. | Clinic/Center | 303 S Main St Ste 215, Mishawaka, IN 46544-2160 | 2020-09-21 |
| 1417563834 | Rci (wrs), LLC. | Clinic/Center | 2300 Cline Ave Ste 203, Schererville, IN 46375-2580 | 2020-09-21 |
| 1194331512 | Rci (wrs), LLC. | Clinic/Center | 9150 E 109th Ave Ste 1d, Crown Point, IN 46307-7687 | 2020-09-21 |
| 1710593132 | Rci (wrs), LLC. | Clinic/Center | 401 15th St Se Ste 11-12, Demotte, IN 46310-9043 | 2020-09-21 |
| 1578179990 | Rci (wrs), LLC. | Clinic/Center | 1900 S Heaton St # 110112, Knox, IN 46534-2324 | 2020-09-21 |
| 1245860196 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 3316 E Market St, Logansport, IN 46947-2296 | 2020-01-20 |
| 1013558394 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 651 Hamburg Way, Suite 300, Sellersburg, IN 47172 | 2019-10-08 |
| 1750948261 | Select Medical Rehabilitation Clinics, Inc. | Clinic/Center | 401 15th St Se Ste 12, Demotte, IN 46310-9379 | 2019-05-21 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47714 |
Please comment or provide details below to improve the information on PROGRESSIVE HEALTH OF INDIANA, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.