Synertec

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

A1159 Issued in MN

Legal business name

SYNERTEC

Practice address

1119 Owens St N
Stillwater, MN 55082-4316

Phone

(651) 439-7180

NPI assigned

Sep 3, 2012

Organization subpart

No

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

Authorized official

Name

Theresa Rohececere

Title

Physical Therapist Assistant

Phone

(651) 426-9310

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346630400000",
    "number": "1154670347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 WILLOW GROVE LN",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551273571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 OWENS ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550824316",
            "telephone_number": "651-439-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERTEC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-03",
        "last_updated": "2012-09-03",
        "status": "A",
        "authorized_official_last_name": "ROHECECERE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "651-426-9310"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "A1159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kianna Swanson, OD
• Joel Swatfager
• Clinton Swenson
• Lyle James Swenson, MD
• Nancy Ann Swenson, DC
• Victoria Tabolich, MS
• Martin A Tahara, DMD, MD
• Tammy Bydlon Health Consultant
• Kimberly Sue Tatton, NP-C
• Angela Marie Tell

• Skilled Nursing Facility in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2012; 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.