Synergy Manual Therapy Solutions LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SYNERGY MANUAL THERAPY SOLUTIONS LLC

Practice address

1805 Commons Cir Ste 100B
Yukon, OK 73099-9519

Phone

(405) 467-4086

Fax

(405) 467-4387

NPI assigned

Sep 18, 2024

Last updated

Jan 21, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shawn G Wallace, PT, DPTNPI 1457323396

Title

Physical Therapist

Phone

(405) 467-4086

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Practitioners 2

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.

• Shawn G Wallace, PT, DPT

  • Physical Therapist
  • Yukon, OK
  • NPI 1457323396
  Medicare reassignment Care Compare group NPD Authorized official
• George Roger Williams, OTRL

  • Occupational Therapist
  • Yukon, OK
  • NPI 1740390277
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1467289868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 COMMONS CIR STE 100B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999519",
            "telephone_number": "405-467-4086",
            "fax_number": "405-467-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 COMMONS CIR STE 100B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999519",
            "telephone_number": "405-467-4086",
            "fax_number": "405-467-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MANUAL THERAPY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "405-467-4086",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita J. Sweetland IV, LPC
• Sycamore Tree Counseling PLLC Samantha Bugos Sole Member
• Odessa Ranae Symes, RN, BSN
• Synergy Behavior Health Care, Inc.
• Synergy Counseling LLC
• Synergy Wellness & Chiropractic PLLC (Synergy Wellness & Chiropractic)
• Take Care Health Oklahoma, P.C.
• Ashley Talsma
• Tamara Stonebarger Counseling
• Huixian Tang, DNP, APRN, FNP-C

• Physical Therapist in Yukon, OK
• Providers in Yukon, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.