Organization Active NPI

Synergy Orthotics & Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Plano, TX
National Provider Identifier
1215923784
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
101179 Issued in TX
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101179OtherTXTEXAS BOARD LICENSE NUMBE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.