Active NPI
Synergy Orthotics & Prosthetics LLC
- Prosthetic/Orthotic Supplier
- Plano, TX
National Provider Identifier
1215923784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 101179
- Legal business name
- SYNERGY ORTHOTICS & PROSTHETICS LLC
- Practice address
- 6020 W Parker Rd
200
Plano, TX 75093-8171 - Phone
- (972) 769-8344
- Fax
- (972) 769-0644
- NPI assigned
- Sep 21, 2005
- 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
- Catherine Ann Mize, CPO
- Title
- Chief Operating Officer
- Phone
- (972) 769-8344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 101179 | TX | Primary |
Addresses
Primary practice location
6020 W Parker Rd
200
Plano, TX 75093-8171
Mailing address
PO Box 260756
Plano, TX 75026-0756
Phone (972) 769-8344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101179 | Other | TX | TEXAS BOARD LICENSE NUMBE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215923784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 260756",
"city": "PLANO",
"state": "TX",
"postal_code": "750260756",
"telephone_number": "972-769-8344",
"fax_number": "972-769-0644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 W PARKER RD",
"address_2": "200",
"city": "PLANO",
"state": "TX",
"postal_code": "750938171",
"telephone_number": "972-769-8344",
"fax_number": "972-769-0644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY ORTHOTICS & PROSTHETICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MIZE",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "972-769-8344",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "TX",
"license": "101179",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD LICENSE NUMBE",
"identifier": "101179",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.