Organization Active NPI

Synergy Physical Therapy and Rehab, Inc

  • Physical Therapist
  • Canton, MI
National Provider Identifier
1073658811
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501008866 Issued in MI
Legal business name
SYNERGY PHYSICAL THERAPY AND REHAB, INC
Practice address
46743 Woodside Dr
Canton, MI 48187-4298
Phone
(734) 837-9673
Fax
(734) 981-8062
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Kruti Amit Sanghvi, P.T.
Title
President
Phone
(734) 837-9673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501008866 MI Primary

Addresses

Primary practice location

46743 Woodside Dr
Canton, MI 48187-4298

Mailing address

46743 Woodside Dr
Canton, MI 48187-4298
Phone (734) 837-9673

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1073658811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46743 WOODSIDE DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874298",
            "telephone_number": "734-837-9673",
            "fax_number": "734-981-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46743 WOODSIDE DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874298",
            "telephone_number": "734-837-9673",
            "fax_number": "734-981-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PHYSICAL THERAPY AND REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "SANGHVI",
        "authorized_official_first_name": "KRUTI",
        "authorized_official_middle_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-837-9673",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.