Organization Active NPI

Synaptyx Physical Medicine PLLC

  • Clinic/Center
  • Lombard, IL
National Provider Identifier
1629604145
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SYNAPTYX PHYSICAL MEDICINE PLLC
Practice address
800 E Roosevelt Rd
Lombard, IL 60148-4735
Phone
(630) 267-5433
NPI assigned
Mar 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Authorized official

Name
Dr. Ryan S Pokrywka, DC
Title
Officer
Phone
(630) 267-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

800 E Roosevelt Rd
Lombard, IL 60148-4735

Mailing address

725 N Pinecrest Rd
Bolingbrook, IL 60440-1151
Phone (630) 267-5433

Other practice location 1

120 E Ogden Ave
Hinsdale, IL 60521-3542
Phone (630) 267-5433

Other practice location 2

777 N York Rd Ste 5&6
Hinsdale, IL 60521-3559
Phone (630) 559-6127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200420000168 IL Part B Supplier - Clinic/Group Practice 9436589249 Receives reassigned benefits from 1 practitioner
Practice locations: Oakbrook Terrace, IL

National Provider Directory

National Provider Directory

Locations

120 E Ogden Ave
Ste 212
Hinsdale, IL 60521
Phone (630) 267-5433

777 N York Rd
Ste 56
Hinsdale, IL 60521
Phone (630) 559-6127

800 E Roosevelt Rd
Lombard, IL 60148
Phone (630) 267-5433

17W755 Butterfield Rd
Unit 103
Oakbrook Terrace, IL 60181

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1629604145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N PINECREST RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401151",
            "telephone_number": "630-267-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E ROOSEVELT RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484735",
            "telephone_number": "630-267-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 E Ogden Ave",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213542",
            "country_code": "US",
            "telephone_number": "630-267-5433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 N York Rd Ste 5&6",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213559",
            "country_code": "US",
            "telephone_number": "630-559-6127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYNAPTYX PHYSICAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "POKRYWKA",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "630-267-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.