Organization Active NPI

Synerje LLC

  • Massage Therapist
  • North Myrtle Beach, SC
National Provider Identifier
1649987108
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SYNERJE LLC
Practice address
211 Highway 17 N Ste 201
North Myrtle Beach, SC 29582-8107
Phone
(843) 489-0788
Fax
(844) 444-0570
NPI assigned
Nov 3, 2022
Last updated
Feb 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Shannon Willoughby, LMTNPI 1629318431
Title
Massage Therapist
Phone
(843) 489-0788

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)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

211 Highway 17 N Ste 201
North Myrtle Beach, SC 29582-8107

Mailing address

211 Highway 17 N Ste 201
North Myrtle Beach, SC 29582-8107
Phone (843) 489-0788

National Provider Directory

National Provider Directory

Locations

211 Highway 17 N
Ste 201
North Myrtle Beach, SC 29582
Phone (843) 273-0016

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1649987108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 HIGHWAY 17 N STE 201",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295828107",
            "telephone_number": "843-489-0788",
            "fax_number": "844-444-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HIGHWAY 17 N STE 201",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295828107",
            "telephone_number": "843-489-0788",
            "fax_number": "844-444-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERJE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "WILLOUGHBY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "843-489-0788",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.