NPIMap

Organization Active NPI

Synergy Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Pueblo, CO
National Provider Identifier
1437572583
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PTL-7864 Issued in CO
Legal business name
SYNERGY PHYSICAL THERAPY AND WELLNESS
Practice address
4115 Club Manor Dr
Pueblo, CO 81008-2014
Phone
(719) 568-9790
Fax
(719) 568-9791
NPI assigned
Jan 26, 2014
Last updated
Jun 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Rachael Martinez
Title
Office Manager
Phone
(719) 568-9790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PTL-7864 CO Primary

Addresses

Primary practice location

4115 Club Manor Dr
Pueblo, CO 81008-2014

Mailing address

4115 Club Manor Dr
Pueblo, CO 81008-2014
Phone (719) 568-9790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140703001634 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5991920001 Receives reassigned benefits from 6 practitioners
Practice locations: Pueblo, CO

National Provider Directory

National Provider Directory

Locations

1080 Eagleridge Blvd
Pueblo, CO 81008
Phone (719) 568-9790

4115 Club Manor Dr
Pueblo, CO 81008
Phone (719) 568-9790

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1437572583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 CLUB MANOR DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082014",
            "telephone_number": "719-568-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 CLUB MANOR DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082014",
            "telephone_number": "719-568-9790",
            "fax_number": "719-568-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-26",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-568-9790"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "PTL-7864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.