Synergy Performance Health and Wellness Center, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SYNERGY PERFORMANCE HEALTH AND WELLNESS CENTER, LLC

Practice address

5428 Odonovan Ste a
Baton Rouge, LA 70808-4364

Phone

(225) 284-8673

Fax

(225) 757-8875

NPI assigned

Mar 19, 2010

Organization subpart

No

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

Authorized official

Name

Ha DO Le

Title

Owner

Phone

(225) 205-4011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1477877488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5428 ODONOVAN STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084364",
            "telephone_number": "225-284-8673",
            "fax_number": "225-757-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5428 ODONOVAN STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084364",
            "telephone_number": "225-284-8673",
            "fax_number": "225-757-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PERFORMANCE HEALTH AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "HA",
        "authorized_official_middle_name": "DO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-205-4011"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.