Organization Active NPI

Synergy Rehab Services Inc.

  • Occupational Therapist
  • Daly City, CA
National Provider Identifier
1407089428
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT8458 Issued in CA
Legal business name
SYNERGY REHAB SERVICES INC.
Practice address
1580 Southgate Ave
#420
Daly City, CA 94015-2262
Phone
(650) 283-2087
Fax
(650) 991-3658
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Michelle Marie Mangio, OTNPI 1992937114
Title
Owner
Phone
(650) 283-2087

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
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT8458 CA Primary

Addresses

Primary practice location

1580 Southgate Ave
#420
Daly City, CA 94015-2262

Mailing address

1580 Southgate Ave
#420
Daly City, CA 94015-2262
Phone (650) 283-2087

National Provider Directory

National Provider Directory

Locations

475 El Camino Real
Ste 404
Millbrae, CA 94030
Phone (650) 438-0857

Practitioners & affiliated clinicians

Practitioners 2

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": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1407089428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SOUTHGATE AVE",
            "address_2": "#420",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152262",
            "telephone_number": "650-283-2087",
            "fax_number": "650-991-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SOUTHGATE AVE",
            "address_2": "#420",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152262",
            "telephone_number": "650-283-2087",
            "fax_number": "650-991-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY REHAB SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "MANGIO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-283-2087",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT8458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.