Synergy Healthcare Corp

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SYNERGY HEALTHCARE CORP

Practice address

147B Washington St
Fairhaven, MA 02719-4013

Phone

(508) 991-2918

Fax

(508) 994-3068

NPI assigned

Mar 12, 2012

Last updated

Jun 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy S Pedersen, PTNPI 1114004231

Title

President

Phone

(508) 991-2918

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Synergy Healthcare Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Synergy Healthcare Corporation

  dba Synergy Physical Therapy

  • Physical Therapist
  • Fairhaven, MA
  • NPI 1669743019
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy S Pedersen, MS, PT

  • Physical Therapist
  • Fairhaven, MA
  • NPI 1114004231
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Elizabeth Coucci, DPT

  • Physical Therapist
  • Boston, MA
  • NPI 1619262367
  Medicare reassignment Care Compare group NPD
• Samantha Olsen, DPT

  • Physical Therapist
  • Warren, RI
  • NPI 1962877241

  MA

  Medicare reassignment Care Compare group NPD
• Deidre B Hart, MSPT

  • Physical Therapist
  • Fairhaven, MA
  • NPI 1295741353
  Medicare reassignment NPD

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1205101193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147B WASHINGTON ST",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194013",
            "telephone_number": "508-991-2918",
            "fax_number": "508-994-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147B WASHINGTON ST",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194013",
            "telephone_number": "508-991-2918",
            "fax_number": "508-994-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-991-2918",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne F Sullivan, RDH
• Lindsey A Sullivan, PA
• Maura A Sullivan, PHYSICAL THERAPIST
• Sarah Elizabeth Sullivan, APRN
• Frida Sylvia
• Synergy Healthcare Corporation (Synergy Physical Therapy)
• David Edward Taylor, P.A.
• Eleanor Taylor, NP
• John Talmadge Taylor III, PA-C
• Kristina Lynne Tetreault

• Physical Therapy Clinic/Center in Fairhaven, MA
• Providers in Fairhaven, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.