Synchronicity MBS

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SYNCHRONICITY MBS

Practice address

6848 N Government Way Ste 111
Dalton Gardens, ID 83815-7778

Phone

(208) 252-6362

NPI assigned

Jun 14, 2022

Last updated

Jun 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vanessa Warden, LMTNPI 1033743687

Title

Owner/Massage Therapist

Phone

(208) 918-6136

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vanessa Sue Warden, LMT

  • Massage Therapist
  • Dalton Gardens, ID
  • NPI 1033743687
  NPD Authorized official

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1063142818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6848 N GOVERNMENT WAY STE 111",
            "city": "DALTON GARDENS",
            "state": "ID",
            "postal_code": "838157778",
            "telephone_number": "208-252-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6848 N GOVERNMENT WAY STE 111",
            "city": "DALTON GARDENS",
            "state": "ID",
            "postal_code": "838157778",
            "telephone_number": "208-252-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNCHRONICITY MBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "WARDEN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "208-918-6136",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vanessa Sue Warden, LMT

• Physical Therapy Clinic/Center in Dalton Gardens, ID
• Providers in Dalton Gardens, ID by specialty
• Physical Therapy Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.