Active NPI
Synertx Rehabilitation
- Occupational Therapist
- Mesa, AZ
National Provider Identifier
1639377161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3870
- Legal business name
- SYNERTX REHABILITATION
- Practice address
- 60 S 58TH St
Mesa, AZ 85206-1507 - Phone
- (480) 832-3903
- NPI assigned
- Jul 5, 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
- Mrs. Lynda Annette Correa, OTRL
- Title
- Occupational Therapist
- Phone
- (888) 873-4221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3870 | AZ | Primary |
Addresses
Primary practice location
60 S 58TH St
Mesa, AZ 85206-1507
Mailing address
6001 E Southern Ave Unit 83
Mesa, AZ 85206-3609
Phone (480) 358-5195
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639377161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 E SOUTHERN AVE UNIT 83",
"city": "MESA",
"state": "AZ",
"postal_code": "852063609",
"telephone_number": "480-358-5195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 S 58TH ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852061507",
"telephone_number": "480-832-3903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERTX REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CORREA",
"authorized_official_first_name": "LYNDA",
"authorized_official_middle_name": "ANNETTE",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "18888734221",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTRL"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "3870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.