OrganizationProgressive Therapy Alternatives, Inc(<Unavail>)Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address123 W Buckeye St, Clyde, OH 43410-1933(419) 547-6651(419) 866-5196PECOS EnrollmentBased on the most recent information from CMS, provider Progressive Therapy Alternatives, Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1215152087Provider TypeOrganizationFull NameProgressive Therapy Alternatives, IncOther Name<Unavail>SubpartYesEnumeration Date4/16/2007Last Updated6/8/2021Contact InformationPractice LocationPractice Address123 W Buckeye St, Clyde, OH 43410-1933Phone(419) 547-6651Fax(419) 547-6681Mailing LocationMailing Address1560 Henthorne Dr, Maumee, OH 43537-1371Phone(419) 866-5196Fax(419) 866-5663Authorized OfficialNameToliver, Dawn Marie (Credentialing Manager)Phone(419) 866-5196Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID0392980DescriptionMedicaidIssuerUnlistedOhioID05531ADescriptionOtherIssuerPARAMOUNTOhioID23-2804807DescriptionOtherIssuerRPNOhioID1609899061DescriptionOtherIssuerCORP NPI NUMBEROhio