NPIMap

Organization Active NPI

Synergy Care, Inc.

  • Physical Therapist
  • Lake Charles, LA
National Provider Identifier
1194849349
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
04136 Issued in LA
Legal business name
SYNERGY CARE, INC.
Practice address
127 W Broad St Ste 850
Lake Charles, LA 70601-4291
Phone
(337) 310-8500
Fax
(888) 241-3028
NPI assigned
Mar 16, 2007
Last updated
Nov 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Mr. Todd Broussard
Title
Controller
Phone
(337) 310-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 04136 LA Primary

Addresses

Primary practice location

127 W Broad St Ste 850
Lake Charles, LA 70601-4291

Mailing address

127 W Broad St Ste 850
Lake Charles, LA 70601-4291
Phone (337) 310-8500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1194849349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W BROAD ST STE 850",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014291",
            "telephone_number": "337-310-8500",
            "fax_number": "888-241-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W BROAD ST STE 850",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014291",
            "telephone_number": "337-310-8500",
            "fax_number": "888-241-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "337-310-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.