Prosynergy Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01486500 Issued in NJ

Legal business name

PROSYNERGY PHYSICAL THERAPY LLC

Practice address

45 South Ave W
Cranford, NJ 07016-2686

Phone

(908) 583-4391

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Agnieszka MikaNPI 1164857413

Title

Physical Therapist

Phone

(908) 583-4391

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Agnieszka Mika, PT

  • Physical Therapist
  • Cherry Hill, NJ
  • NPI 1164857413
  Medicare reassignment Care Compare group NPD Authorized official
• Francis Talambiras Cruz I, OTR

  • Specialist
  • Montclair, NJ
  • NPI 1558761767
  Medicare reassignment Care Compare group NPD
• Sheyenne Lewis, OTD

  • Occupational Therapist
  • Cranford, NJ
  • NPI 1114753563
  Medicare reassignment NPD
• Danielle Frances Shedlock, OTR/L

  • Occupational Therapist
  • Edgewater, NJ
  • NPI 1093426959
  Medicare reassignment NPD
• Shaniece Degazon, DPT

  • Physical Therapist
  • Cranford, NJ
  • NPI 1003308206

  Multi-Specialty

  NPD (past)
• Marda J Herz, MSPT

  • Physical Therapist
  • Cranford, NJ
  • NPI 1760919856
  NPD (past)

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1235515529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 NEWELL DR",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202510",
            "telephone_number": "908-583-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SOUTH AVE W",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162686",
            "telephone_number": "908-583-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSYNERGY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "MIKA",
        "authorized_official_first_name": "AGNIESZKA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "908-583-4391"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01486500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noreen H Ponik, MS CCC-SLP
• Christopher Pozarycki, RPH
• Premier Mental & Behavioral Services, Inc.
• Premier Urology Group LLC
• Profunction Physical Therapy LLC
• Protouch Physical Therapy Group LLC
• Pasquale Pucciarelli, DC
• Nicole Puglisi, LAC
• QDX Path Alliance, PC
• Kevin Quigley, PHARMD

• Physical Therapist in Cranford, NJ
• Providers in Cranford, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.