OrganizationActive
Progressus Therapy, LLC
NPI 1073740916 · Nursing Facility/Intermediate Care Facility · Tampa, FL
Provider details
- NPI number
- 1073740916
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Ralph, Coo(800) 434-4686
- License
- 03288 (MD)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
10014 N Dale Mabry Hwy Ste C-100
Tampa, FL 33618-4426
Phone: (800) 892-0640
Approximate (ZIP-level) locationGet directions
Mailing address
10014 N Dale Mabry Hwy Ste C-100
Tampa, FL 33618-4426
Registry dates
- Enumerated
- 2009-06-18
- Last updated
- 2018-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.