Active NPI
Synergy Physical Therapy and Rehab, Inc
- Physical Therapist
- Canton, MI
National Provider Identifier
1073658811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501008866
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryNPI 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.