Individual provider Active NPI

Gregory Rober Synnestvedt, PT, DPT

  • Physical Therapist
  • Doylestown, PA
National Provider Identifier
1275093015
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT027597 Issued in PA
Practice address
1456 Ferry Rd Unit 601
Doylestown, PA 18901-2391
Phone
(215) 489-3234
Fax
(215) 489-0131
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT027597 PA Primary

Addresses

Primary practice location

1456 Ferry Rd Unit 601
Doylestown, PA 18901-2391

Mailing address

1456 Ferry Rd Unit 601
Doylestown, PA 18901-2391
Phone (215) 489-3234

Other identifiers 1

IdentifierTypeStateIssuer
PT027597OtherPALICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wwspt@wwspt.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT027597PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wendy Webb Schoenewald, PT Inc Physical Therapist CurrentSince Jun 4, 2019 Accepting new patients

Locations

1456 Ferry Rd
Unit 601
Doylestown, PA 18901
Phone (215) 489-3234

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1275093015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 FERRY RD UNIT 601",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012391",
            "telephone_number": "215-489-3234",
            "fax_number": "215-489-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 FERRY RD UNIT 601",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012391",
            "telephone_number": "215-489-3234",
            "fax_number": "215-489-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYNNESTVEDT",
        "first_name": "GREGORY",
        "middle_name": "ROBER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT027597",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wwspt@wwspt.com",
            "affiliation": "N",
            "endpointDescription": "wwspt@wwspt.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1456 Ferry Rd Unit 601",
            "city": "Doylestown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189012391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.