Active NPI
Synergy Therapy Services
- Pediatric Physical Therapist
- Arvada, CO
National Provider Identifier
1265170278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Legal business name
- SYNERGY THERAPY SERVICES
- Practice address
- 19039 W 88TH Dr
Arvada, CO 80007-7302 - Phone
- (720) 232-8443
- Fax
- (303) 467-2866
- NPI assigned
- May 20, 2022
- Last updated
- May 20, 2022
- 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
- Kellee Ann Brudos-Nockels
- Title
- RPT
- Phone
- (720) 232-8443
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | NU | Primary |
Addresses
Primary practice location
19039 W 88TH Dr
Arvada, CO 80007-7302
Mailing address
19039 W 88TH Dr
Arvada, CO 80007-7302
Phone (720) 232-8443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932349552 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Arvada, CO
- NPI 1932349552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653004800000",
"number": "1265170278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19039 W 88TH DR",
"city": "ARVADA",
"state": "CO",
"postal_code": "800077302",
"telephone_number": "720-232-8443",
"fax_number": "303-467-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19039 W 88TH DR",
"city": "ARVADA",
"state": "CO",
"postal_code": "800077302",
"telephone_number": "720-232-8443",
"fax_number": "303-467-2866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-20",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A",
"authorized_official_last_name": "BRUDOS-NOCKELS",
"authorized_official_first_name": "KELLEE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "RPT",
"authorized_official_telephone_number": "720-232-8443"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932349552",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.