Organization Active NPI

Synergy Rehab and Physical Therapy

  • Physical Therapist
  • Dorchester, MA
National Provider Identifier
1598063174
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SYNERGY REHAB AND PHYSICAL THERAPY
Practice address
1558 Dorchester Ave
Dorchester, MA 02122-1354
Phone
(617) 533-8844
Fax
(617) 533-8845
NPI assigned
Mar 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Miss Huong Diep
Title
Ceo
Phone
(617) 533-8844

Specialties & licenses 1

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

Addresses

Primary practice location

1558 Dorchester Ave
Dorchester, MA 02122-1354

Mailing address

1016 N Main St
Randolph, MA 02368-3005
Phone (617) 533-8844

National Provider Directory

National Provider Directory

Locations

1558 Dorchester Ave
Dorchester, MA 02122
Phone (617) 533-8844

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1598063174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683005",
            "telephone_number": "617-533-8844",
            "fax_number": "617-533-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 DORCHESTER AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221354",
            "telephone_number": "617-533-8844",
            "fax_number": "617-533-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY REHAB AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "DIEP",
        "authorized_official_first_name": "HUONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-533-8844",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.