Mary Jane Berongan Sy, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3248 Issued in AR

Practice address

3655B Malvern Rd
Hot Springs, AR 71901-6716

Phone

(501) 701-8617

Fax

(501) 762-0399

NPI assigned

May 13, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healing Hands Physical Therapy, LLCGroup PAC ID 3072877612, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healing Hands Physical Therapy, LLC

  • Physical Therapist
  • Hot Springs, AR
  • NPI 1386140374
  Medicare reassignment Care Compare group NPD Authorized official
• Motility MLK, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hot Springs, AR
  • NPI 1710363486
  NPD

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1306164470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LEGACY LN",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018754",
            "telephone_number": "501-701-8617",
            "fax_number": "501-762-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655B MALVERN RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016716",
            "telephone_number": "501-701-8617",
            "fax_number": "501-762-0399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2278 Albert PIke Road",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719134157",
            "country_code": "US",
            "telephone_number": "501-767-0808",
            "fax_number": "501-767-0832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SY",
        "first_name": "MARY JANE",
        "middle_name": "BERONGAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "12610",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "3248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Suttle, LPC
• Orlando Sutton Sr., L.P.N.
• Valerie Swearingen, LCSW
• John Albert Sweatt, M.D.
• Cathrine Del Rosario Sy, LMT
• Synergy Healthcare LLC
• Kassi Talbot, OTR
• Emmanuel Tancinco, MD
• Priscilla Lizelle Hernando Tangunan, M.D.
• Farhan Tariq, M.D.

• Physical Therapist in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.