Organization Active NPI

Synergy Rehab Inc.

  • Physical Therapist
  • Jupiter, FL
National Provider Identifier
1083892756
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10533 Issued in FL
Legal business name
SYNERGY REHAB INC.
Practice address
1420 Ocean Way Apt 29C
Jupiter, FL 33477-7259
Phone
(561) 339-7667
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Mr. Joao Baltazar Lopes, PTNPI 1568640225
Title
President
Phone
(561) 339-7667

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT10533 FL Primary

Addresses

Primary practice location

1420 Ocean Way Apt 29C
Jupiter, FL 33477-7259

Mailing address

1420 Ocean Way Apt 29C
Jupiter, FL 33477-7259
Phone (561) 339-7667

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051031000221 FL Part B Supplier - Clinic/Group Practice 9931126828 Receives reassigned benefits from 1 practitioner
Practice locations: Jupiter, FL

National Provider Directory

National Provider Directory

Locations

11211 Prosperity Farms Rd
Ste B204
Palm Beach Gardens, FL 33410
Phone (561) 622-9197

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1083892756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 OCEAN WAY APT 29C",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334777259",
            "telephone_number": "561-339-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 OCEAN WAY APT 29C",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334777259",
            "telephone_number": "561-339-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "LOPES",
        "authorized_official_first_name": "JOAO",
        "authorized_official_middle_name": "BALTAZAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-339-7667",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.