NPIMap

Organization Active NPI

Synergy Orthotics and Prosthestics LLC

  • Prosthetic/Orthotic Supplier
  • Plano, TX
National Provider Identifier
1467448936
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
101230 Issued in TX
Legal business name
SYNERGY ORTHOTICS AND PROSTHESTICS LLC
Practice address
1220 N. Coit Rd
102
Plano, TX 75075-7757
Phone
(972) 769-8344
Fax
(972) 769-0644
NPI assigned
Sep 21, 2005
Last updated
Jul 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Catherine Ann Mize, CPONPI 1376940619
Title
Chief Operating Officer
Phone
(972) 769-8344

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 101230 TX
Prosthetic/Orthotic Supplier 335E00000X 101230 TX Primary

Addresses

Primary practice location

1220 N. Coit Rd
102
Plano, TX 75075-7757

Mailing address

PO Box 260756
Plano, TX 75026-0756
Phone (972) 769-8344

Other identifiers 1

IdentifierTypeStateIssuer
011068601MedicaidTX

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1467448936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260756",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750260756",
            "telephone_number": "972-769-8344",
            "fax_number": "972-769-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N. COIT RD",
            "address_2": "102",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757757",
            "telephone_number": "972-769-8344",
            "fax_number": "972-769-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY ORTHOTICS AND PROSTHESTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "MIZE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "972-769-8344",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "101230",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011068601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.