Organization Active NPI

Synergy Rehabilitation LLC

  • Physical Therapist
  • North Haven, CT
National Provider Identifier
1083922470
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5614 Issued in CT
Legal business name
SYNERGY REHABILITATION LLC
Practice address
52 Washington Ave
Suite 4
North Haven, CT 06473-1724
Phone
(203) 691-0961
NPI assigned
Sep 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Ralph Laudano Mauriello, PTNPI 1598073348
Title
Sole Member
Phone
(203) 691-0961

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5614 CT Primary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X 5614 CT

Addresses

Primary practice location

52 Washington Ave
Suite 4
North Haven, CT 06473-1724

Mailing address

1125 W Woods Rd
Unit 17
Hamden, CT 06518-1774
Phone (203) 691-0961

National Provider Directory

National Provider Directory

Locations

52 Washington Ave
Ste 4
North Haven, CT 06473
Phone (203) 672-2800

Practitioners & affiliated clinicians

Practitioners 1

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": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1083922470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W WOODS RD",
            "address_2": "UNIT 17",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181774",
            "telephone_number": "203-691-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 WASHINGTON AVE",
            "address_2": "SUITE 4",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731724",
            "telephone_number": "203-691-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "MAURIELLO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "LAUDANO",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "203-691-0961",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "5614",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "5614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.