Organization Active NPI

Synergy Aquatic Therapy & Rehabilitation, Inc

Doing business as Synergy Aquatic Therapy & Rehab

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1053606327
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21200 Issued in CA
Legal business name
SYNERGY AQUATIC THERAPY & REHABILITATION, INC
Doing business as
Synergy Aquatic Therapy & Rehab
Practice address
7005 N Chestnut Ave
Suite 102
Fresno, CA 93720-0348
Phone
(559) 999-7301
Fax
(559) 323-4844
NPI assigned
Jun 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracy Coke, DPT
Title
Director/Owner
Phone
(559) 323-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT21200 CA Primary

Addresses

Primary practice location

7005 N Chestnut Ave
Suite 102
Fresno, CA 93720-0348

Mailing address

7005 N Chestnut Ave
Suite 102
Fresno, CA 93720-0348
Phone (559) 323-4100

Other names 1

  • Synergy Aquatic Therapy & Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

7005 N Chestnut Ave
Ste 102
Fresno, CA 93720
Phone (559) 323-4100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1053606327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 N CHESTNUT AVE",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200348",
            "telephone_number": "559-323-4100",
            "fax_number": "559-323-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 N CHESTNUT AVE",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200348",
            "telephone_number": "559-999-7301",
            "fax_number": "559-323-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY AQUATIC THERAPY & REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "COKE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "559-323-4100",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Aquatic Therapy & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.