Synergy Rehab Bridgeport LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SYNERGY REHAB BRIDGEPORT LLC

Practice address

1010 Main St
Bridgeport, NE 69336-4035

Phone

(970) 466-0792

NPI assigned

Mar 10, 2023

Last updated

Mar 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daren Martin, MPT

Title

Co-Owner

Phone

(307) 780-8331

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

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.

• Lindsey Marie Bairn

  • Occupational Therapist
  • Bridgeport, NE
  • NPI 1245711399
  Medicare reassignment Care Compare group NPD
• Chelsey Marie Kraupie, PT, DPT

  • Physical Therapist
  • Bridgeport, NE
  • NPI 1881152056
  Medicare reassignment Care Compare group NPD
• Kael Juelfs, PT, DPT

  • Physical Therapist
  • Scottsbluff, NE
  • NPI 1073306403
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1700587334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1244",
            "city": "MOUNTAIN VIEW",
            "state": "WY",
            "postal_code": "829391244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "NE",
            "postal_code": "693364035",
            "telephone_number": "970-466-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY REHAB BRIDGEPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DAREN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "307-780-8331",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senex Foundation of Nebraska, Inc (Skyview Care and Rehab at Bridgeport)
• Senex Foundation of Nebraska, Inc (Skyview Care and Rehab at Bridgeport)
• Kimberly Dawn Sides, LPN
• Joseph Anthony Stichka, LPN
• Terri Stuart, PTA
• Trail City Wellness LLC
• Nathan I Van Winkle, MD
• Haley Rose Wood

• Physical Therapist in Bridgeport, NE
• Providers in Bridgeport, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.