Organization Active NPI

Synergy Physical Therapy & Performance

  • Physical Therapist
  • Harahan, LA
National Provider Identifier
1699259432
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SYNERGY PHYSICAL THERAPY & PERFORMANCE
Practice address
1827 Hickory Ave Ste B
Harahan, LA 70123-5613
Phone
(504) 782-2439
NPI assigned
Sep 18, 2018
Last updated
Sep 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Christopher A Dysart, DPT
Title
Owener
Phone
(504) 782-2439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1827 Hickory Ave Ste B
Harahan, LA 70123-5613

Mailing address

1827 Hickory Ave Ste B
Harahan, LA 70123-5613
Phone (504) 782-2439

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181023000209 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1456604321 Receives reassigned benefits from 4 practitioners
Practice locations: Harahan, LA

National Provider Directory

National Provider Directory

Locations

1827 Hickory Ave
Ste B
New Orleans, LA 70123
Phone (504) 360-2584

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1699259432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 HICKORY AVE STE B",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701235613",
            "telephone_number": "504-782-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 HICKORY AVE STE B",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701235613",
            "telephone_number": "504-782-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PHYSICAL THERAPY & PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "DYSART",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "504-782-2439",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harahan, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.