Active NPI
Synergy Fitness, LLC
- Rehabilitation Clinic/Center
- Marquette, MI
National Provider Identifier
1194492629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- SYNERGY FITNESS, LLC
- Practice address
- 1414 W Fair Ave Ste 49
Marquette, MI 49855-2675 - Phone
- (906) 228-7600
- Fax
- (906) 228-0110
- NPI assigned
- Aug 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Claus, MS, AT, ATC, OPE-C
- Title
- Owner, Director
- Phone
- (906) 228-7600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
1414 W Fair Ave Ste 49
Marquette, MI 49855-2675
Mailing address
1414 W Fair Ave Ste 49
Marquette, MI 49855-2675
Phone (906) 228-7600
Other names 1
- Synergy Fitness
National Provider Directory
National Provider DirectoryLocations
1414 W Fair Ave
Ste 49
Marquette, MI 49855
Phone (906) 228-7600
Interoperability endpoints
- https://api.platform.athenahealth.com/25126/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Marquette, MI
- NPI 1215487038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629763200000",
"number": "1194492629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 W FAIR AVE STE 49",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552675",
"telephone_number": "906-228-7600",
"fax_number": "906-228-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 W FAIR AVE STE 49",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552675",
"telephone_number": "906-228-7600",
"fax_number": "906-228-0110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY FITNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-24",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A",
"authorized_official_last_name": "CLAUS",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "OWNER, DIRECTOR",
"authorized_official_telephone_number": "906-228-7600",
"authorized_official_credential": "MS, AT, ATC, OPE-C"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Synergy Fitness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.