Organization Active NPI

Synergy Rehabilitation and Chiropractic, LLC

  • Chiropractor
  • Newtown, PA
National Provider Identifier
1063646073
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007698L Issued in PA
Legal business name
SYNERGY REHABILITATION AND CHIROPRACTIC, LLC
Practice address
105 Terry Dr
Ste 114
Newtown, PA 18940-1872
Phone
(215) 860-9798
Fax
(215) 860-3422
NPI assigned
May 5, 2009
Last updated
May 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
Dr. Jennifer S Grozalis, D.C.
Title
Owner
Phone
(215) 860-9798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007698L PA Primary

Addresses

Primary practice location

105 Terry Dr
Ste 114
Newtown, PA 18940-1872

Mailing address

105 Terry Dr
Ste 114
Newtown, PA 18940-1872
Phone (215) 860-9798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090821000082 PA Part B Supplier - Clinic/Group Practice 7214081520 Receives reassigned benefits from 1 practitioner
Practice locations: Newtown, PA

National Provider Directory

National Provider Directory

Locations

105 Terry Dr
Ste 114
Newtown, PA 18940
Phone (215) 860-9798

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1063646073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TERRY DR",
            "address_2": "STE 114",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401872",
            "telephone_number": "215-860-9798",
            "fax_number": "215-860-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TERRY DR",
            "address_2": "STE 114",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401872",
            "telephone_number": "215-860-9798",
            "fax_number": "215-860-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY REHABILITATION AND CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "GROZALIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-860-9798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007698L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.