Organization Active NPI

Synergy Fitness, LLC

  • Rehabilitation Clinic/Center
  • Marquette, MI
National Provider Identifier
1194492629
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
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

Updated by the provider on Aug 24, 2021

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-CNPI 1215487038
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

1414 W Fair Ave
Ste 49
Marquette, MI 49855
Phone (906) 228-7600

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.