Extended

LBN: Progressstep
Extended is an health care organization with primary practice located at 960 S Rapids Rd , Manitowoc WI 54220-4146. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as the primary health care specialty. Progressstep can be contacted via phone (920) 684-1144, or through Carstens, Debra Kay via phone (920) 684-1144.

Contact Information

Primary practice address
960 S Rapids Rd Manitowoc WI 54220-4146
Phone: (920) 684-1144
Fax: (920) 482-0651
Website:
Map and Directions
Authorized official contact:
Name: Carstens, Debra Kay Physical Therapist Assistant (PTA)
Phone: (920) 684-1144

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X Wisconsin

Profile Details

NPI number 1548474521
LBN Legal business name Progressstep
DBA Doing business as Extended
Authorized official Carstens, Debra Kay Physical Therapist Assistant (PTA)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548474521 NPPES
Wisconsin MEDICAID 40235700

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