NPIMap

Organization Active NPI

Synergy Physical Therapy and Wellness LLC

  • Mechanotherapist
  • Upper Marlboro, MD
National Provider Identifier
1447705710
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
21269 Issued in MD
Legal business name
SYNERGY PHYSICAL THERAPY AND WELLNESS LLC
Practice address
14400 Old Mill Rd Ste 201
Upper Marlboro, MD 20772-3097
Phone
(301) 952-1111
NPI assigned
Aug 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Latoya Asher
Title
Doctor of Physical Therapy
Phone
(301) 830-2620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MechanotherapistGroup: 193200000X MULTI-SPECIALTY GROUP 172M00000X 21269 MD Primary

Addresses

Primary practice location

14400 Old Mill Rd Ste 201
Upper Marlboro, MD 20772-3097

Mailing address

15608 Glastonbury Way
Upper Marlboro, MD 20774-8042

National Provider Directory

National Provider Directory

Locations

14400 Old Mill Rd
Ste 201
Upper Marlboro, MD 20772
Phone (301) 952-1111

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1447705710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15608 GLASTONBURY WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 OLD MILL RD STE 201",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723097",
            "telephone_number": "301-952-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "ASHER",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "301-830-2620"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "MD",
            "license": "21269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.