Organization Active NPI

Synergy Therapy Services

  • Pediatric Physical Therapist
  • Arvada, CO
National Provider Identifier
1265170278
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Kellee Ann Brudos-NockelsNPI 1932349552
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1932349552MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.