NPIMap

Organization Active NPI

Synergy Physical Therapy of Odessa LP

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Odessa, TX
National Provider Identifier
1073601670
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
SYNERGY PHYSICAL THERAPY OF ODESSA LP
Practice address
808 Tower Dr
Suite 7
Odessa, TX 79761-4243
Phone
(432) 335-8777
Fax
(432) 335-8787
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Laurie S. Rush, P.T.NPI 1144374083
Title
Administrator
Phone
(432) 335-8777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X TX Primary

Addresses

Primary practice location

808 Tower Dr
Suite 7
Odessa, TX 79761-4243

Mailing address

808 Tower Dr
Suite 7
Odessa, TX 79761-4243
Phone (432) 335-8777

Other identifiers 1

IdentifierTypeStateIssuer
177897901MedicaidTX

National Provider Directory

National Provider Directory

Locations

808 Tower Dr
Ste 7
Odessa, TX 79761
Phone (432) 335-8777

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1073601670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 TOWER DR",
            "address_2": "SUITE 7",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614243",
            "telephone_number": "432-335-8777",
            "fax_number": "432-335-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 TOWER DR",
            "address_2": "SUITE 7",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614243",
            "telephone_number": "432-335-8777",
            "fax_number": "432-335-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PHYSICAL THERAPY OF ODESSA LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "432-335-8777",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177897901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.