Organization Active NPI

Synertx Rehabilitation

  • Occupational Therapist
  • Mesa, AZ
National Provider Identifier
1639377161
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3870 Issued in AZ
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.