Organization Active NPI

Synergy Outpatient Therapy Services LLC

  • Physical Therapist
  • Brownsville, TX
National Provider Identifier
1396907101
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1127470 Issued in TX
Legal business name
SYNERGY OUTPATIENT THERAPY SERVICES LLC
Practice address
435 Paredes Line Rd
Ste a
Brownsville, TX 78521
Phone
(956) 544-4500
Fax
(956) 541-9839
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Mrs. Honorata Shiela Bardaje Nicart, PT
Title
President
Phone
(956) 266-2114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1127470 TX Primary

Addresses

Primary practice location

435 Paredes Line Rd
Ste a
Brownsville, TX 78521

Mailing address

435 Paredes Line Rd
Ste a
Brownsville, TX 78521
Phone (956) 266-2114

National Provider Directory

National Provider Directory

Locations

435 Paredes Line Rd
#A
Brownsville, TX 78521
Phone (956) 544-4500

Practitioners & affiliated clinicians

Practitioners 1

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": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1396907101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 PAREDES LINE RD",
            "address_2": "STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78521",
            "telephone_number": "956-266-2114",
            "fax_number": "956-541-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 PAREDES LINE RD",
            "address_2": "STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78521",
            "telephone_number": "956-544-4500",
            "fax_number": "956-541-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY OUTPATIENT THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "NICART",
        "authorized_official_first_name": "HONORATA SHIELA",
        "authorized_official_middle_name": "BARDAJE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-266-2114",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1127470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.