NPIMap

Organization Active NPI

Synergy Sports and Medical Rehabilitation

  • Physical Therapy Clinic/Center
  • West New York, NJ
National Provider Identifier
1386843522
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SYNERGY SPORTS AND MEDICAL REHABILITATION
Practice address
6120 Buchanan Place
West New York, NJ 07093-2915
Phone
(201) 758-5238
Fax
(201) 758-5240
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Vivian Rodriguez
Title
Office Manager
Phone
(201) 758-5238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6120 Buchanan Place
West New York, NJ 07093-2915

Mailing address

P.O. Box 4073
West New York, NJ 07093-2915
Phone (201) 758-5238

Other names 1

  • 123 Physical Therapy, LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1386843522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4073",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932915",
            "telephone_number": "201-758-5238",
            "fax_number": "201-758-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 BUCHANAN PLACE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932915",
            "telephone_number": "201-758-5238",
            "fax_number": "201-758-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY SPORTS AND MEDICAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-758-5238"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "123 Physical Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.