Provider Demographics
NPI:1154544211
Name:PROGRESSIVE THERAPY SYSTEMS
Entity type:Organization
Organization Name:PROGRESSIVE THERAPY SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:TAPSELL
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LCSW
Authorized Official - Phone:303-831-9344
Mailing Address - Street 1:1045 ACOMA ST STE 3
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-4029
Mailing Address - Country:US
Mailing Address - Phone:303-831-9344
Mailing Address - Fax:303-831-9347
Practice Address - Street 1:827 N SHERMAN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2913
Practice Address - Country:US
Practice Address - Phone:303-831-9344
Practice Address - Fax:303-831-9347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO986034251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health