NPIMap

Organization Active NPI

Pacific Sports Health Management, Inc.

Doing business as Synergy Performance Health

  • Physical Therapist
  • Burbank, CA
National Provider Identifier
1093755894
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PACIFIC SPORTS HEALTH MANAGEMENT, INC.
Doing business as
Synergy Performance Health
Practice address
4111 W Alameda Ave
Suite 110
Burbank, CA 91505-4161
Phone
(818) 333-1690
Fax
(818) 333-1697
NPI assigned
Jun 8, 2006
Reactivated
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Howard Rappaport
Title
President and Ceo
Phone
(818) 333-1690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4111 W Alameda Ave
Suite 110
Burbank, CA 91505-4161

Mailing address

4111 W Alameda Ave
Suite 110
Burbank, CA 91505-4161
Phone (818) 333-1690

Other names 1

  • Synergy Performance Health Doing business as

National Provider Directory

National Provider Directory

Locations

2400 Willow Ln
Thousand Oaks, CA 91361
Phone (805) 374-1334

24515 Town Center Dr
Valencia, CA 91355
Phone (661) 799-1900

20700 Ventura Blvd
Ste 100
Woodland Hills, CA 91364
Phone (818) 444-5100

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093755894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 W ALAMEDA AVE",
            "address_2": "SUITE 110",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054161",
            "telephone_number": "818-333-1690",
            "fax_number": "818-333-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 W ALAMEDA AVE",
            "address_2": "SUITE 110",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054161",
            "telephone_number": "818-333-1690",
            "fax_number": "818-333-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SPORTS HEALTH MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "deactivation_date": "2006-06-22",
        "reactivation_date": "2006-06-22",
        "status": "A",
        "authorized_official_last_name": "RAPPAPORT",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "818-333-1690"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Performance Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.