NPIMap

Organization Active NPI

Synergy Physical Therapy

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1457744922
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60028820 Issued in WA
Legal business name
SYNERGY PHYSICAL THERAPY
Practice address
12951 Bel Red Rd
Suite100
Bellevue, WA 98005-2644
Phone
(425) 435-5277
Fax
(425) 455-2910
NPI assigned
Mar 9, 2015
Last updated
Mar 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Priyanka Gupta, PTNPI 1295989036
Title
Owner
Phone
(425) 435-5277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT60028820 WA Primary

Addresses

Primary practice location

12951 Bel Red Rd
Suite100
Bellevue, WA 98005-2644

Mailing address

12951 Bel Red Rd
Suite100
Bellevue, WA 98005-2644
Phone (425) 435-5277

National Provider Directory

National Provider Directory

Locations

12951 NE Bel Red Rd
Ste 100
Bellevue, WA 98005
Phone (425) 435-5277

Practitioners & affiliated clinicians

Practitioners 6

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": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1457744922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12951 BEL RED RD",
            "address_2": "SUITE100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052644",
            "telephone_number": "425-435-5277",
            "fax_number": "425-455-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12951 BEL RED RD",
            "address_2": "SUITE100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052644",
            "telephone_number": "425-435-5277",
            "fax_number": "425-455-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "PRIYANKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-435-5277",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60028820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.