Active NPI
Physical Synergy, LLC
- Chiropractor
- Fairfield, CT
National Provider Identifier
1497948533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001265
- Legal business name
- PHYSICAL SYNERGY, LLC
- Practice address
- 340 Post Rd
Fairfield, CT 06824-6220 - Phone
- (203) 259-3210
- Fax
- (203) 259-3213
- NPI assigned
- Aug 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Troknya, DC
- Title
- Owner
- Phone
- (203) 259-3210
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001265 | CT | Primary |
Addresses
Primary practice location
340 Post Rd
Fairfield, CT 06824-6220
Mailing address
340 Post Rd
Fairfield, CT 06824-6220
Phone (203) 259-3210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050001265CT01 | Other | CT | ANTHEM BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
340 Post Rd
Fairfield, CT 06824
Phone (203) 259-3210
911 Post Rd
Fairfield, CT 06824
Phone (203) 259-3210
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Fairfield, CT
- NPI 1669579637
-
- Chiropractor
- Cheshire, CT
- NPI 1366916389
-
- Chiropractor
- Orange, CT
- NPI 1447690466
-
- Chiropractor
- Orange, CT
- NPI 1215221296
-
- Sports Physician Chiropractor
- Fairfield, CT
- NPI 1760433494
-
- Chiropractor
- Stamford, CT
- NPI 1235403288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416355200000",
"number": "1497948533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 POST RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246220",
"telephone_number": "203-259-3210",
"fax_number": "203-259-3213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 POST RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246220",
"telephone_number": "203-259-3210",
"fax_number": "203-259-3213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL SYNERGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-22",
"last_updated": "2014-11-19",
"status": "A",
"authorized_official_last_name": "TROKNYA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-259-3210",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CT",
"license": "001265",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "050001265CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.