Organization Active NPI

Synergy Physical Therapy & Performance IV, LLC

  • Physical Therapy Clinic/Center
  • Metairie, LA
National Provider Identifier
1104723311
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SYNERGY PHYSICAL THERAPY & PERFORMANCE IV, LLC
Practice address
3017 Lime St
Metairie, LA 70006-5307
Phone
(504) 782-2728
NPI assigned
Oct 21, 2026
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Erica Dysart
Title
Manager
Phone
(504) 782-2728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3017 Lime St
Metairie, LA 70006-5307

Mailing address

3017 Lime St
Metairie, LA 70006-5307
Phone (504) 782-2728

NPI Registry JSON

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1104723311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 LIME ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065307",
            "telephone_number": "504-782-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 LIME ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065307",
            "telephone_number": "504-782-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PHYSICAL THERAPY & PERFORMANCE IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "DYSART",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-782-2728"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.