| Progressive Therapeutics Llc | |
|
1881 Worcester Rd Ste 203 Framingham MA 01701-5410 | |
| (508) 834-3183 | |
| (508) 532-1168 |
| Full Name | Progressive Therapeutics Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1881 Worcester Rd Ste 203, Framingham, Massachusetts |
| Authorized Official Name and Position | Nimish Shah (CO-OWNER) |
| Authorized Official Contact | 5088343183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Therapeutics Llc 1881 Worcester Rd Ste 203 Framingham MA 01701-5410 Ph: (508) 834-3183 | Progressive Therapeutics Llc 1881 Worcester Rd Ste 203 Framingham MA 01701-5410 Ph: (508) 834-3183 |
| NPI Number | 1386838266 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 10/09/2023 |
| Certification Date | 10/09/2023 |
| Medicare PECOS PAC ID | 9638234750 |
|---|---|
| Medicare Enrollment ID | O20090224000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386838266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Maitri R Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912945213 PECOS PAC ID: 4486695418 Enrollment ID: I20050519000457 |
| Provider Name | Nimish M Shah |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1023058328 PECOS PAC ID: 6103831441 Enrollment ID: I20060208000321 |
| Provider Name | Christopher D Caffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710287578 PECOS PAC ID: 2466640271 Enrollment ID: I20101221000522 |
| Provider Name | Abby Rose Clinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932720505 PECOS PAC ID: 6608281571 Enrollment ID: I20210227000061 |
| Provider Name | Lisa Marie Rullie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649523523 PECOS PAC ID: 8921414525 Enrollment ID: I20210305000912 |
| Provider Name | Debra Meyer Koopman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326325945 PECOS PAC ID: 8921266784 Enrollment ID: I20210305000940 |
| Provider Name | Julia E Bousquet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831771609 PECOS PAC ID: 5294128591 Enrollment ID: I20220209001837 |
| Provider Name | Thomas M Dodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164767471 PECOS PAC ID: 7719359751 Enrollment ID: I20230221000474 |
| Provider Name | Andrew Christo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588389415 PECOS PAC ID: 7113380742 Enrollment ID: I20230830002577 |
| Provider Name | Krista E Mcginnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083214043 PECOS PAC ID: 6709236474 Enrollment ID: I20231220003031 |
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